Organization Active NPI

McManus Counseling PC

  • Community/Behavioral Health Agency
  • Charlton, MA
National Provider Identifier
1982951059
Registry record updated Oct 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
114449 Issued in MA
Legal business name
MCMANUS COUNSELING PC
Practice address
191 City Depot Rd # 102
Charlton, MA 01507-5445
Phone
(508) 450-2296
NPI assigned
Aug 8, 2012
Last updated
Oct 7, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2021

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

Authorized official

Name
Mr. Michael James McManus Jr., MSW LICSWNPI 1568618411
Title
President
Phone
(508) 450-2296

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 114449 MA Primary

Addresses

Primary practice location

191 City Depot Rd # 102
Charlton, MA 01507-5445

Mailing address

191 City Depot Rd # 102
Charlton, MA 01507-5445
Phone (508) 450-2296

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121109000419 MA Part B Supplier - Clinic/Group Practice 8820249337 Receives reassigned benefits from 5 practitioners
Practice locations: Charlton, MA

National Provider Directory

National Provider Directory

Locations

176 Main St
Ste 350
Southbridge, MA 01550
Phone (508) 450-2296

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1344384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633564800000",
    "number": "1982951059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 CITY DEPOT RD # 102",
            "city": "CHARLTON",
            "state": "MA",
            "postal_code": "015075445",
            "telephone_number": "508-450-2296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 CITY DEPOT RD # 102",
            "city": "CHARLTON",
            "state": "MA",
            "postal_code": "015075445",
            "telephone_number": "508-450-2296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCMANUS COUNSELING PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-08",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A",
        "authorized_official_last_name": "MCMANUS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-450-2296",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MSW LICSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MA",
            "license": "114449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.