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

Q: 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.

Q: What is Amanda Manley's specialty?

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

Q: 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 16 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.

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: October 25, 2026.

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

On this page

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

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Aspirus Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

Medicare enrollment records show Amanda Manley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Gateway Family Health Clinic, Ltd.

Same address

Family Medicine

4570 CTY HWY 61
Moose Lake, MN 55767

Reassigned Medicare billing, Minnesota enrollment
18 clinicians in this Medicare group

NPI 1356344451 (218) 485-4491

Mental Health Specialty Group PA

1,018 mi

Mental Health

110 N CORCORAN ST FL 5
Durham, NC 27701

Reassigned Medicare billing, Minnesota enrollment
98 clinicians in this Medicare group

NPI 1801472634 (323) 205-7088

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organizations bill Medicare for Amanda Manley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Manley reassigns Medicare benefits to 2 organizations: Gateway Family Health Clinic, Ltd. (Moose Lake, MN) and Mental Health Specialty Group PA (Durham, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amanda Manley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amanda Manley accept?

Health plans from Aspirus Health Plan list Amanda Manley 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 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 16 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.