Constance Laverne Manley, LPC, BSL

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC014154 Issued in PA

Practice address

1765 Goucher St Ste 150
Johnstown, PA 15905-1101

Phone

(814) 535-8586

NPI assigned

Jul 6, 2015

Last updated

Jun 27, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Switch Mental Health Services IncGroup PAC ID 0143663336, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor of Science - Law

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4

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.

• Switch Mental Health Services Inc

  • Community/Behavioral Health Agency
  • Johnstown, PA
  • NPI 1174298244
  Medicare reassignment Care Compare group NPD
• Counseling-Coaching-Consulting LLC

  • Professional Counselor
  • Windber, PA
  • NPI 1437908977
  NPD Authorized official
• Dr. Mary Berge and Associates, LLC

  • Community/Behavioral Health Agency
  • Johnstown, PA
  • NPI 1063783678
  NPD (past)

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

{
    "created_epoch": "1436140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1942683206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4757 MOUNT CARMEL DR",
            "city": "WINDBER",
            "state": "PA",
            "postal_code": "159633102",
            "telephone_number": "814-341-6679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1765 GOUCHER ST STE 150",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159051101",
            "telephone_number": "814-535-8586"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4757 Mount Carmel Dr",
            "address_purpose": "LOCATION",
            "city": "Windber",
            "state": "PA",
            "postal_code": "159633102",
            "country_code": "US",
            "telephone_number": "814-341-6679",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "903 Old Scalp Ave",
            "address_purpose": "LOCATION",
            "city": "Johnstown",
            "state": "PA",
            "postal_code": "159041763",
            "country_code": "US",
            "telephone_number": "814-713-1840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANLEY",
        "first_name": "CONSTANCE",
        "middle_name": "LAVERNE",
        "credential": "LPC, BSL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-06",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC014154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samir Mallat
• Monique Dawn Malloy, CRNP
• Christopher John Mamula
• Kelli Morgan Manippo, CRNP
• Kavitha Vani Manjunath, M.D
• Aimee Mann
• Manogna Manne, DO
• Camille J Maravalli, MD
• Rosellen Markel, NP-C
• Jessica Marie Marks, MD

• Professional Counselor in Johnstown, PA
• Providers in Johnstown, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.