Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Robert Mantia, MA, LPCC

Individual provider Professional Counselor · NPI 1063955508

Robert Mantia, MA, LPCC is a Mental Health Counselor in Shoreview, Minnesota. Qualified in 2010, 16 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
16
Licensed in
MN
In the registry since
2016
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.

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Practice location Address checks out

470 Highway 96 W Ste 260
Shoreview, MN 55126-3216
Phone: (651) 237-3767
Fax: (651) 236-8033
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence CC01387 (MN)

Record details

NPI number1063955508
Entity typeIndividual (Type 1)
GenderMale
Credentials MA , LPCC
Sole proprietorYes
NPI enumeratedDecember 1, 2016
Last updated in NPPESMay 12, 2024
Certification dateMay 12, 2024
Mailing address470 Highway 96 W Ste 260, Shoreview, MN 55126-3216

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Shoreview