MARYANNA ELIZABETH MANDERVILLE LPC
NPI 1285916593
Counselor - Professional in Montgomery, AL

Active since September 13, 2011PECOS EnrolledAccepts Medicare Assignment
2637 EASTERN BLVD, MONTGOMERY, AL 36117(334) 409-9090(334) 409-9669 Get Directions Write a Review

NPPES record last updated: September 13, 2011. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Maryanna Elizabeth Manderville Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARYANNA ELIZABETH MANDERVILLE LPC (NPI 1285916593) is an individual professional provider in Montgomery, Alabama, licensed in Alabama (2878) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1285916593
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMARYANNA ELIZABETH MANDERVILLECredential: LPC
Location Address2637 EASTERN BLVDMontgomery, AL 36117
Mailing Address2868 Acton RoadBirmingham, AL 35243 · (205) 968-8360 · Fax (205) 968-8361
Fax(334) 409-9669
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateSeptember 13, 2011
NPI 1285916593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in AL · 2878
2637 EASTERN BLVD, Montgomery, AL 36117

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Maryanna Elizabeth Manderville Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5890135891
PECOS Enrollment IDI20240424001550
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
2637 EASTERN BLVD
MONTGOMERY, AL 36117
Registered Nurse
2637 EASTERN BLVD
MONTGOMERY, AL 36117
Non-emergency Medical Transport (VAN)
2637 EASTERN BLVD
MONTGOMERY, AL 36117
Registered Nurse (Psychiatric/Mental Health, Child & Adolescent)
2637 EASTERN BLVD
MONTGOMERY, AL 36117

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maryanna Manderville's NPI number?

The NPI number for Maryanna Manderville is 1285916593. It was assigned to this individual provider in the NPPES registry on September 13, 2011.

Where is Maryanna Manderville located?

Maryanna Manderville practices at 2637 Eastern Blvd, Montgomery, AL 36117. The listed phone number is (334) 409-9090.

What is Maryanna Manderville's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Maryanna Manderville enrolled in Medicare?

Yes. Maryanna Manderville is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Maryanna Manderville accept?

Health plans from Blue Cross and Blue Shield of Alabama, Oscar Insurance Company and UnitedHealthcare list Maryanna Manderville as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Maryanna Manderville was last updated on September 13, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.