Jennifer Mannino, LPC
NPI 1528793684ActiveIndividual· Counselor, Professional· Fenton, MI
Counselor, Professional (LPC) with J Flack Psyd PC, practicing in Fenton, Michigan. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1528793684 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LPC |
| Sole proprietor | No |
| NPI issued | Jul 21, 2022 |
| Last updated in NPPES | Jul 21, 2022 |
| Certified by provider | Jul 21, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | 6401222784 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (MI) |
|---|
Education and affiliations
| Graduation year | 2002 |
|---|---|
| Medicare specialty | Mental Health Counselor |
Medical group
- J Flack Psyd PCFenton, MI · 10 clinicians
Other Counselor, Professional providers in Fenton
- 1649087412
- 1558108274
- 1194367953
- 1619754157
- 1376199257
- 1376057729
- 1720450596
- 1427487768
- 1497316848
- 1669946430
- 1548305048
- 1023385481