Jackie Manivanh, LPC
NPI 1225481146 · Professional Counselor · Fort Worth, TX
Enrolled with Medicare as Practitioner - Mental Health Counselor · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jackie Manivanh, LPC is a Professional Counselor provider in Fort Worth, TX (NPI 1225481146).
Provider details
- NPI number
- 1225481146
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 69071 (TX)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-07-15
- Last updated
- 2016-07-15
Frequently asked questions
- What is Jackie Manivanh's NPI number?
- Jackie Manivanh's National Provider Identifier (NPI) is 1225481146, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jackie Manivanh's specialty?
- Jackie Manivanh is listed in the NPPES registry with a primary specialty of Professional Counselor (Behavioral Health & Social Service Providers).
- Where is Jackie Manivanh located?
- Jackie Manivanh's practice location on file with NPPES is 4516 Boat Club Rd Ste 106, Fort Worth, TX 76135-7020.
- What is Jackie Manivanh's phone number?
- The practice phone number listed in the NPPES registry for Jackie Manivanh is (817) 238-0106.
- Does Jackie Manivanh accept Medicare?
- Jackie Manivanh is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jackie Manivanh's NPI active?
- Yes — Jackie Manivanh's NPI (1225481146) is active in the NPPES registry as of the last update on 2016-07-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.