Shelley F Mangum, CMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

5828209-6004 Issued in UT

Practice address

9263 S Redwood Rd
West Jordan, UT 84088-6571

Phone

(801) 566-0749

Fax

(801) 566-7108

NPI assigned

Jun 26, 2012

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

State licenses

Practice roles

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

• Illuminate Holdings LLC

  • Multi-Specialty Clinic/Center
  • Bluffdale, UT
  • NPI 1285315176
  NPD Authorized official
• Integrative Counseling, LLC

  • Mental Health Counselor
  • Sandy, UT
  • NPI 1508486473
  NPD Authorized official
• Jordan West Family Counseling Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • West Jordan, UT
  • NPI 1508811480
  NPD (past)

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

{
    "created_epoch": "1340668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391990400000",
    "number": "1396009262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 E 9800 S",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840703546",
            "telephone_number": "801-793-0620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9263 S REDWOOD RD",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840886571",
            "telephone_number": "801-566-0749",
            "fax_number": "801-566-7108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGUM",
        "first_name": "SHELLEY",
        "middle_name": "F",
        "credential": "CMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-26",
        "last_updated": "2014-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "5828209-6004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josie Madsen
• Kanoelani Magner
• Jeremy Bruce Mahoney, DMD
• Ashley Majoskey, PA-C
• Anne Malbica
• Jade Mangus, CSW
• Matteus Manzo
• Joseph Marble
• Rebecca Marble
• Andrew Mardini

• Mental Health Counselor in West Jordan, UT
• Providers in West Jordan, UT by specialty
• Mental Health Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2014; 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.