Serena Mangano

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

92700 Issued in TX

Practice address

6500 Quaker Ave Ste D
Lubbock, TX 79413-5138

Phone

(806) 687-5413

NPI assigned

Oct 5, 2023

Last updated

Oct 5, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 TX

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

Specialty

Mental Health Counselor

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Family Service Assn of Lubbock, Texas, Inc.

  • Clinical Social Worker
  • Lubbock, TX
  • NPI 1659541308
  Medicare reassignment NPD
• Journeys Counseling Center

  • Professional Counselor
  • Lubbock, TX
  • NPI 1144791617
  NPD (past)
• Kristi Hosek, Inc

  • Mental Health Counselor
  • Lubbock, TX
  • NPI 1568834398
  NPD (past)

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

{
    "created_epoch": "1696464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1417737537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4709 101ST ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794245704",
            "telephone_number": "806-445-4190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 QUAKER AVE STE D",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794135138",
            "telephone_number": "806-687-5413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGANO",
        "first_name": "SERENA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-05",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "92700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nabeela Manal, MD
• Manasseh Medical Imaging, Inc
• Juan Antonio Mancilla Jr.
• Cody Ray Mandrell, APRN
• Patti Mandrell, LPC
• David Eugene Mangold, M.D.
• Sarah Ashley Mankin, D.O.
• Toni Davis Mann, AUD CCC A
• Jonathan Paul Mannas, M.D.
• Jill Ann Manners, LAT, ATC, PT, NREMT

• Professional Counselor in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.