PATRICK J MCMANNUS (NPI# 1477107555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477107555 |
| Entity Type | Individual |
| Full Name | PATRICK J MCMANNUS |
| Credential | LISW, IADC |
| Practice Address |
2950 Samuel Ct Sw Unit A Cedar Rapids IA 52404-7854 |
| Practice Telephone | 5152271718 |
| Mailing Telephone | 5152271718 |
| Enumeration Date | 2019-07-28 |
| Last Update Date | 2019-07-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
14068 | IA | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
072187 | IA | Behavioral Health & Social Service Providers |
| Street Address |
2950 SAMUEL CT SW UNIT A |
| City | CEDAR RAPIDS |
| State | IA |
| Zip Code | 52404-7854 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285233064 | Physiotherapy Associates, Inc. | Clinic/Center | 998 Westdale Parkway, Cedar Rapids, IA 52404 | 2020-10-22 |
| 1528617313 | Humble Language Institute | Interpreter | 3513 Royal Dr. Sw, Cedar Rapids, IA 52404 | 2019-09-05 |
| 1073169074 | Jackie Lugene Mcfetridge | Technician | 3528 Falcon View Rd Sw, Cedar Rapids, IA 52404 | 2019-08-15 |
| 1003460312 | Rem Iowa, Inc. | Intermediate Care Facility, Mentally Retarded | 143 16th Ave Sw, Cedar Rapids, IA 52404 | 2019-07-25 |
| 1811541121 | Rem Iowa, Inc. | Intermediate Care Facility, Mentally Retarded | 2620 33rd Ave Sw, Cedar Rapids, IA 52404 | 2019-07-25 |
| 1659859569 | Wanda Marie Mokry-sellers | Counselor | 3601 16th Avenue Sw, Cedar Rapids, IA 52404 | 2018-08-02 |
| 1790231371 | Freddie Lederle | Taxi | 3260 Southgate Place, Cedar Rapids, IA 52404 | 2016-09-01 |
| 1619422748 | Mercy Physician Associates, Inc | Family Medicine | 777 76th Ave Dr Sw, Cedar Rapids, IA 52404 | 2016-08-18 |
| 1740638626 | Lasharon Leah Taylor | Counselor | 3330 Southgate Ct Sw, Cedar Rapids, IA 52404 | 2016-06-01 |
| 1689094112 | Pathway Counseling Center | Clinic/Center | 1073 Rockford Rd Se, Suite E, Cedar Rapids, IA 52404 | 2014-04-23 |
| Find all providers in zip 52404 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013523943 | Bryan Busch | Counselor | 1030 5th Ave Se # Ate3000, Cedar Rapids, IA 52403-2464 | 2020-09-16 |
| 1477179133 | James L Neubauer | Counselor | 3745 Center Point Rd Ne, Cedar Rapids, IA 52402-2926 | 2020-06-18 |
| 1366065062 | Thea Bedell, Lmhc, LLC | Counselor | 3412 Center Point Rd Ne, Cedar Rapids, IA 52402-5529 | 2020-05-28 |
| 1629609037 | Alyssa Anne Mcdowell | Counselor | 1073 Rockford Rd Sw Ste E, Cedar Rapids, IA 52404-1868 | 2020-02-04 |
| 1316589682 | Gail Wood | Counselor | 1660 42nd St Ne Ste O, Cedar Rapids, IA 52402-3066 | 2019-10-08 |
| 1154962991 | Tracy Adam | Counselor | 1221 Park Pl Ne Ste F, Cedar Rapids, IA 52402-2019 | 2019-10-02 |
| 1144883539 | Barbara Lynn Murphy | Counselor | 3635 Bever Ave Se, Cedar Rapids, IA 52403-4330 | 2019-04-21 |
| 1700358520 | Syndrea Porter | Counselor | 1146 Blairs Ferry Rd Ne Ste 2, Cedar Rapids, IA 52402-1274 | 2018-12-18 |
| 1144791153 | Shannon Elise Perea | Counselor | 215 4th Ave Se, Cedar Rapids, IA 52401-1844 | 2018-12-17 |
| 1902375801 | A New Leaf Mental Health & Wellness Center, Inc | Counselor | 5925 Council St Ne Ste 117, Cedar Rapids, IA 52402-5860 | 2018-11-20 |
| Find all providers in CEDAR RAPIDS | ||||
| City | CEDAR RAPIDS |
| Zip Code | 52404 |
Please comment or provide details below to improve the information on PATRICK J MCMANNUS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.