ROBERT MANTIA MA LPCC NPI 1063955508

NPI Information

  • NPI: 1063955508
  • Provider Name: ROBERT MANTIA, MA, LPCC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 470 HIGHWAY 96 W STE 260
    SHOREVIEW, MN
    ZIP 55126
  • Phone: (651) 237-3767

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NPI Details

Robert Mantia, MA, LPCC is a professional counselor in Shoreview, MN with 16 years of experience. Robert Mantia, MA, LPCC NPI is 1063955508. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

470 HIGHWAY 96 W STE 260
SHOREVIEW, MN
ZIP 55126-216
Phone: (651) 237-3767
Fax: (651) 236-8033

The NPI 1063955508 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 12/1/2016 and was last updated on 5/12/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessionalCC01387MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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