Provider Profile

Jackie Manivanh, LPC

Unclaimed Profile

About Jackie Manivanh

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Specialty

Professional Counselor (Primary)

Credentials & Licensing

TX license69071
NPI1225481146
NPI issued07/15/2016

License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.

Medicare information

Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What does Jackie Manivanh specialize in?

Jackie Manivanh is a professional counselor in Fort Worth, TX. That is the designation recorded for this NPI in the federal registry.

NPI registry

Where is Jackie Manivanh located?

Jackie Manivanh is listed at 4516 Boat Club Rd Ste 106, Fort Worth, TX 76135. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Jackie Manivanh's phone number?

The number on file is (817) 238-0106. Guide.md cannot book appointments or pass on messages — please call the office directly.

NPI registry

What is Jackie Manivanh's NPI number?

Jackie Manivanh's National Provider Identifier is 1225481146. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

How long has Jackie Manivanh been practicing?

Jackie Manivanh has 10+ years experience. Registered with an NPI since 2016. National Provider Identifiers only began in 2005, so a provider who qualified earlier may have practiced for longer than this.

NPI registry

Has Jackie Manivanh confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Jackie Manivanh. If this is you, claiming it is free.

Guide.md

Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.