Samuel Benjamin Manz, LPC
Individual provider Active NPI School Counselor · Paulding, OH
NPI 1972030039 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1972030039
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Counselor 101YS0200X
- License
- OH1260965 (OH)
- Practice address
- 501 MC Donald Pike
Paulding, OH 45879-9239 - Phone
- (419) 399-3636
- Fax
- (419) 399-5915
- NPI assigned
- May 18, 2017
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1200153 | OH | MD | Professional Counselor |
| OH1260965 | OH | MD | School Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1200153 | OH | |
| School Counselor | 101YS0200X | OH1260965 | OH | Yes |
Addresses
Primary practice location
501 MC Donald Pike
Paulding, OH 45879-9239
Mailing address
501 MC Donald Pike
Paulding, OH 45879-9239
Phone (419) 399-3636
Other practice location 1
501 Mc Donald Pike
Paulding, OH 45879-9239
Other providers in Paulding, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.