Rebecca Mangold, M.A

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1905 10TH St
Rock Valley, IA 51247-1630

Phone

(712) 476-5245

NPI assigned

Jan 19, 2016

Last updated

Jan 19, 2016By the provider in NPPES

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

Enrolled in IA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Greater Sioux Community Health Center Inc.

  dba Promise Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Sioux Center, IA
  • NPI 1053582098
  Medicare reassignment NPD
• Greater Sioux Community Health Center Inc.

  dba Promise CHC Sioux Center Intermediate School

  • Federally Qualified Health Center (FQHC)
  • Sioux Center, IA
  • NPI 1972398444
  NPD
• Creative Living Center, P.C.

  • Counselor
  • Rock Valley, IA
  • NPI 1609807098
  NPD (past)

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

{
    "created_epoch": "1453161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453161600000",
    "number": "1376900597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 163",
            "city": "ROCK VALLEY",
            "state": "IA",
            "postal_code": "512470163",
            "telephone_number": "712-476-5245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 10TH ST",
            "city": "ROCK VALLEY",
            "state": "IA",
            "postal_code": "512471630",
            "telephone_number": "712-476-5245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGOLD",
        "first_name": "REBECCA",
        "credential": "M.A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-19",
        "last_updated": "2016-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith A Johnson
• Sarah Jane Jones
• Bradley Dean Kamstra, D.O.
• Samuel Lee Koth, DDS
• Jennifer G Lincecum, RD, LD
• Margaret Martens, LMHC
• Nicolette Menke
• April Metzger
• Coreen Lynn Montag, D.C.
• Eugene Nduru, BCBA

• Mental Health Counselor in Rock Valley, IA
• Providers in Rock Valley, IA by specialty
• Mental Health Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2016; 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.

Verify at the official NPI Registry.