Active NPI
Heather Mangan, LPC
- Counselor
- Evansville, WY
National Provider Identifier
1225887698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LPC-2173
- Practice address
- PO Box 523
Evansville, WY 82636-0523 - Phone
- (307) 268-2621
- NPI assigned
- May 16, 2024
- Last updated
- May 16, 2024
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | LPC-2173 | WY | Primary |
Addresses
Primary practice location
PO Box 523
Evansville, WY 82636-0523
Mailing address
PO Box 523
Evansville, WY 82636-0523
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250501001275 | WY | Practitioner - Mental Health Counselor | 6709302862 | Practice locations: Casper, WY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715817600000",
"number": "1225887698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 523",
"city": "EVANSVILLE",
"state": "WY",
"postal_code": "826360523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 523",
"city": "EVANSVILLE",
"state": "WY",
"postal_code": "826360523",
"telephone_number": "307-268-2621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANGAN",
"first_name": "HEATHER",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-05-16",
"last_updated": "2024-05-16",
"certification_date": "2024-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WY",
"license": "LPC-2173",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Evansville, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.