Individual provider Active NPI

Manisha S Patel, MSW

  • Mental Health Counselor
  • Ann Arbor, MI
National Provider Identifier
1912520586
Registry record updated May 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6801091198 Issued in MI
Practice address
204 E Washington St
Ann Arbor, MI 48104-2070
Phone
(734) 478-7358
Fax
(734) 585-5634
NPI assigned
May 18, 2020
Last updated
May 18, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6801091198 MI Primary

Addresses

Primary practice location

204 E Washington St
Ann Arbor, MI 48104-2070

Mailing address

173 Village Way
Canton, MI 48188-3449
Phone (734) 377-6738

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

State licenses

LicenseStateTypeSpecialty
6801091198MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lotus Consulting PLLC Ilona Phillips LMSW PLLC CurrentSince Jul 4, 2026 Accepting new patients
Mind and Body Wellness LLC Past Accepting new patients

Locations

204 E Washington St
Ann Arbor, MI 48104
Phone (734) 478-7358

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1589760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589760000000",
    "number": "1912520586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 VILLAGE WAY",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481883449",
            "telephone_number": "734-377-6738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 E WASHINGTON ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481042070",
            "telephone_number": "734-478-7358",
            "fax_number": "734-585-5634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MANISHA",
        "middle_name": "S",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-18",
        "last_updated": "2020-05-18",
        "certification_date": "2020-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6801091198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.