John McManus, LCMHCA, LCAS-A, NCC
Individual provider Active NPI Mental Health Counselor · Banner Elk, NC
NPI 1992452825 · NPPES record last updated Mar 10, 2022
Key facts
- NPI
- 1992452825
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- A15131 (NC)
- Practice address
- 191 Main St W
Banner Elk, NC 28604-6967 - Phone
- (828) 898-3155
- NPI assigned
- Mar 10, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| LCAS-25772 | NC | MD | Addiction (Substance Use Disorder) Counselor |
| A15131 | NC | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCAS-25772 | NC | |
| Mental Health Counselor | 101YM0800X | A15131 | NC | Yes |
Addresses
Primary practice location
191 Main St W
Banner Elk, NC 28604-6967
Mailing address
166 Mountain Ivy LN
Boone, NC 28607-6190
Phone (301) 538-0696
Other providers in Banner Elk, NC
- Mallory Noelle Luckey
- Margaret Kirk Counseling, PLLC
- Bethany Daneil McCabe
- Riley McKay
- Georgia McLean
- Anita S. McMillan
- Morning Song Counseling, PLLC
- Mountain Apothecary, Inc
- Mountain Mentality Counseling PLLC
- Neuro Active
All providers in Banner Elk, NC · Mental Health Counselor in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 10, 2022. 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.