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MS. AMANDA R MANLEY LMFT
NPI 1508693961
Marriage & Family Therapist in Moose Lake, MN

Active since September 18, 2024PECOS EnrolledAccepts Medicare Assignment
4570 COUNTY ROAD 61, MOOSE LAKE, MN 55767(218) 485-4491(218) 485-4724 Get Directions Write a Review

NPPES record last updated: June 4, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jun 4, 2025, Sep 18, 2024 (2 updates tracked since 2024).

About Ms. Amanda R Manley Lmft NPPES

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

MS. AMANDA R MANLEY LMFT (NPI 1508693961) is an individual marriage & family therapist in Moose Lake, Minnesota, licensed in Minnesota (4390) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1508693961
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMS. AMANDA R MANLEYCredential: LMFT
Location Address4570 COUNTY ROAD 61Moose Lake, MN 55767-9401
Mailing Address4570 County Road 61Moose Lake, MN 55767-9401 · (218) 485-4491 · Fax (218) 485-4724
Phone(218) 485-4491
Fax(218) 485-4724
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 18, 2024
Last NPPES UpdateJune 4, 20252 updates tracked since enumeration
NPPES CertifiedJune 4, 2025
✔ NPI 1508693961 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in MN · 4390
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
4570 COUNTY ROAD 61, Moose Lake, MN 55767
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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

Ms. Amanda R Manley Lmft 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 ID8729510516
PECOS Enrollment IDI20241017003379
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.

ALLYSON LOUPE PT
Physical Therapist
4570 COUNTY ROAD 61
MOOSE LAKE, MN 55767
Carlton County (218) 485-2020
MRS. AMY JO FORBES PT
Physical Therapist
4570 COUNTY ROAD 61
MOOSE LAKE, MN 55767
Carlton County (218) 485-2020
JOSIE BENZIE
Family Medicine
4570 COUNTY ROAD 61
MOOSE LAKE, MN 55767
Carlton County (218) 485-4491
ELIZABETH LUOMA SLP
Speech-Language Pathologist
4570 COUNTY ROAD 61
MOOSE LAKE, MN 55767
Carlton County (218) 485-2020

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 Amanda Manley's NPI number?

The NPI number for Amanda Manley is 1508693961. It was assigned to this individual provider in the NPPES registry on September 18, 2024.

Where is Amanda Manley located?

Amanda Manley practices at 4570 County Road 61, Moose Lake, MN 55767. The listed phone number is (218) 485-4491.

What is Amanda Manley's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Amanda Manley enrolled in Medicare?

Yes. Amanda Manley 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.

When was this NPI record last updated?

The NPPES record for Amanda Manley was last updated on June 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.