Gina Manross, MS, LAC-21925
Counselor, Mental Health in Kingman, AZ. Individual provider (NPI-1).
NPI number1376499335
StatusActive
Last updated in NPPESMar 10, 2026
Details
- NPI
- 1376499335
- Entity type
- Individual (NPI-1)
- Name
- Gina Manross
- Credential
- MS, LAC-21925
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 10, 2026
- Certification date
- Mar 10, 2026
- Last updated
- Mar 10, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 21925 | AZ | Yes |
Practice location
2630 E Lass AveKingman, AZ 86409-1354
Phone 480-356-6721
Mailing address
2630 E Lass AveKingman, AZ 86409-1354
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 17 Mental Health Counselor providers in Kingman · All 1,037 providers in Kingman
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