JUDITH A MANUSOS (NPI# 1699943779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699943779 |
| Entity Type | Individual |
| Full Name | JUDITH A MANUSOS |
| Credential | LPC |
| Practice Address |
460 Northside Dr Ne Ste 5 Alexandria MN 56308-2355 |
| Practice Telephone | 3207628551 |
| Practice Fax Number | 3207628550 |
| Mailing Telephone | 3207628551 |
| Mailing Fax Number | 3207628550 |
| Enumeration Date | 2008-02-12 |
| Last Update Date | 2008-02-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
00204 | MN | Behavioral Health & Social Service Providers |
| Street Address |
460 NORTHSIDE DR NE STE 5 |
| City | ALEXANDRIA |
| State | MN |
| Zip Code | 56308-2355 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649499450 | Laura Voight-radtke | Psychologist | 460 Northside Dr Ne Ste 5, Alexandria, MN 56308-2355 | 2007-04-24 |
| 1447516323 | Victoria Soltis | Marriage & Family Therapist | 460 Northside Dr Ne Ste 5, Alexandria, MN 56308-2355 | 2012-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871104836 | Center for Pain Management Ambulatory Surgery, Ltd | Pain Medicine | 804 23rd Street South, Sartell, MN 56308 | 2020-08-13 |
| 1548815590 | Ritajo Ellenberger | Licensed Practical Nurse | 220 Oak Street North, Alexandria, MN 56308 | 2019-08-06 |
| 1346808714 | Vance Thompson Vision Surgery Center Alexandria, Prof LLC | Clinic/Center | 2600 Jefferson St, Alexandria, MN 56308 | 2019-05-31 |
| 1811452048 | Little Falls Eye Care Center Pa | Optometrist | 2306 S. Broadway Str. Suite 12, Alexandria, MN 56308 | 2019-02-01 |
| 1184167199 | Jennifer Lynn Craig | Technician | 2307 East Golf Course Rd, Alexandria, MN 56308 | 2016-11-22 |
| 1548712219 | Shelby Elisha Johnsrud | Chiropractor | 303 West 22nd Ave, Ste 100, Alexandria, MN 56308 | 2016-10-28 |
| 1811347867 | Dustin Matthew Ditch | Dentist | 510 22nd Ave E Ste 702, Alexandria, MN 56308 | 2016-06-20 |
| 1639538051 | West Central Chiropractic & Wellness, LLC | Chiropractor | 123 3rd Ave. E, Suite 100, Alexandria, MN 56308 | 2016-02-12 |
| 1659736221 | Amanda Jean Dahlseng | Registered Nurse | 809 Elm Street, Suite 1200, Alexandria, MN 56308 | 2015-12-23 |
| 1518358886 | Benjamin G Wenzel | Marriage & Family Therapist | 512 30th Ave S, Ste 100, Alexandria, MN 56308 | 2015-02-09 |
| Find all providers in zip 56308 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356940910 | Celeste Suzann Cantees | Counselor | 1008 Pendleton St, Alexandria, VA 22314-2286 | 2020-10-23 |
| 1396358974 | Brittany Aponte | Counselor | 625 E Monroe Ave Apt 214, Alexandria, VA 22301-3024 | 2020-08-25 |
| 1245859719 | Boyd Grady Scoggins | Counselor | 323 Valley Dr N, Alexandria, AL 36250-6230 | 2020-04-14 |
| 1407489768 | Anthony Michael Frato | Counselor | 205 S Whiting St #601, Alexandria, VA 22304 | 2020-02-14 |
| 1578108221 | Amber Michelle Johnson | Counselor | 4207 Parliament Dr Ste B, Alexandria, LA 71303-2720 | 2019-11-15 |
| 1891336574 | Ashley N Maharaj | Counselor | 750 Port St Apt 1228, Alexandria, VA 22314-2496 | 2019-10-03 |
| 1144871435 | Sherri Brothers | Counselor | 6598 Kelsey Point Cir, Alexandria, VA 22315-5524 | 2019-09-27 |
| 1972153989 | Andrea Zalzal Sanderson | Counselor | 1707 Belle View Blvd Apt A2, Alexandria, VA 22307-6727 | 2019-09-12 |
| 1063976868 | Heather Michelle Castro | Counselor | 708 Pendleton St Fl 1, Alexandria, VA 22314-1819 | 2019-01-25 |
| 1801386230 | Jennifer Fuller | Counselor | 810a Texas Ave, Alexandria, LA 71301-4829 | 2018-05-10 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 56308 |
Please comment or provide details below to improve the information on JUDITH A MANUSOS.
| 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.