Sheree Nicole Mangum, LCMHCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A18093 Issued in NC

Practice address

3719 Latrobe Dr Ste 850
Charlotte, NC 28211-4827

Phone

(336) 978-4205

NPI assigned

Sep 30, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1664496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664582400000",
    "number": "1043934276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12578 JESSICA PL",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282691579",
            "telephone_number": "336-978-4205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3719 LATROBE DR STE 850",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282114827",
            "telephone_number": "336-978-4205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGUM",
        "first_name": "SHEREE",
        "middle_name": "NICOLE",
        "credential": "LCMHCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-30",
        "last_updated": "2022-10-01",
        "certification_date": "2022-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A18093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deanna Ashley Mangieri, DO
• Noah Mangione
• Timothy De Villa Manglicmot, DC
• Avani Sanjeev Mangoli, DO
• Melissa Parker Mangum, NP
• Michael Maniaci, MD
• Gary Maniloff, MD
• Ryan Manion
• Sushil K Mankani, MD, MPH
• Genia Dreher Manley, SLP

• Mental Health Counselor in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.