Active NPI
Takoya Z Mandigo, LPC
- Professional Counselor
- Dallas, TX
National Provider Identifier
1053191650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 87348
- Practice address
- 1000 E Red Bird LN
Dallas, TX 75241-2534 - Phone
- (682) 337-3034
- NPI assigned
- Oct 2, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 87348 | TX | Primary |
Addresses
Primary practice location
1000 E Red Bird LN
Dallas, TX 75241-2534
Mailing address
1628 Deer Creek Dr
Desoto, TX 75115-3698
Phone (214) 244-2260
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 87348 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696204800000",
"number": "1053191650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1628 DEER CREEK DR",
"city": "DESOTO",
"state": "TX",
"postal_code": "751153698",
"telephone_number": "214-244-2260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 E RED BIRD LN",
"city": "DALLAS",
"state": "TX",
"postal_code": "752412534",
"telephone_number": "682-337-3034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANDIGO",
"first_name": "TAKOYA",
"middle_name": "Z",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-10-02",
"last_updated": "2023-10-02",
"certification_date": "2023-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "87348",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.