Janine Linda Mangrum, M.S., L.A.D.C.

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

175 Issued in OK

Practice address

1210 N West St
McAlester, OK 74501-2306

Phone

(918) 421-3323

Fax

(918) 426-0004

NPI assigned

Apr 24, 2007

Sex

Female

Sole proprietor

No

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

Credentials

Master of Science

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124247697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 115",
            "city": "SAVANNA",
            "state": "OK",
            "postal_code": "745650115",
            "telephone_number": "918-548-3326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 N WEST ST",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745012306",
            "telephone_number": "918-421-3323",
            "fax_number": "918-426-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGRUM",
        "first_name": "JANINE",
        "middle_name": "LINDA",
        "credential": "M.S., L.A.D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OK",
            "license": "175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• April Dawn Madden, LPN
• Sandi Jane Maffeo, R.N.
• Tyler Dominic Maffeo
• Rhonda Faye Magnus, MBS
• Jaiden Makara
• Lisa J Manlove
• Melissa Mann
• Michelle Renee Mann, APRN-CRNA
• Ty R Mariott
• Charles Lawrence Martin, BHRS

• Addiction (Substance Use Disorder) Counselor in McAlester, OK
• Providers in McAlester, OK by specialty
• Addiction (Substance Use Disorder) Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.