Active NPI
Jonathan Michael Mangano, LMFT
- Marriage & Family Therapist
- Fishers, IN
National Provider Identifier
1104684646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 35002315A
- Practice address
- 13578 E 131St St Ste 260
Fishers, IN 46037-6401 - Phone
- (317) 827-7870
- NPI assigned
- Mar 11, 2024
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 35002315A | IN | Primary |
Addresses
Primary practice location
13578 E 131St St Ste 260
Fishers, IN 46037-6401
Mailing address
8635 N Crestview TRL
McCordsville, IN 46055-6206
Phone (217) 671-7058
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 |
|---|---|---|---|
| 35002315A | IN | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710115200000",
"number": "1104684646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8635 N CRESTVIEW TRL",
"city": "MCCORDSVILLE",
"state": "IN",
"postal_code": "460556206",
"telephone_number": "217-671-7058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13578 E 131ST ST STE 260",
"city": "FISHERS",
"state": "IN",
"postal_code": "460376401",
"telephone_number": "317-827-7870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANGANO",
"first_name": "JONATHAN",
"middle_name": "MICHAEL",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-03-11",
"last_updated": "2024-03-11",
"certification_date": "2024-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "IN",
"license": "35002315A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fishers, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.