Active NPI
Janice Lorraine Mantell, MA
- Counselor
- Corvallis, OR
National Provider Identifier
1912401456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- R3966
- Practice address
- 4455 NE Highway 20
Corvallis, OR 97330-9695 - Phone
- (541) 758-5900
- NPI assigned
- Mar 20, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | R3966 | OR | Primary |
Addresses
Primary practice location
4455 NE Highway 20
Corvallis, OR 97330-9695
Mailing address
4455 NE Highway 20
Corvallis, OR 97330-9695
Phone (541) 758-5900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R3966 | OR | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Hope Counseling of Albany | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- Albany, OR
- NPI 1043716012
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521504000000",
"number": "1912401456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4455 NE HIGHWAY 20",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973309695",
"telephone_number": "541-758-5900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4455 NE HIGHWAY 20",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973309695",
"telephone_number": "541-758-5900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANTELL",
"first_name": "JANICE",
"middle_name": "LORRAINE",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-20",
"last_updated": "2018-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OR",
"license": "R3966",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corvallis, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.