Robbie Mangum, M.S.,NCC,LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

3631 Issued in AL

Practice address

1623 Forest Ave
Montgomery, AL 36106-1541

Phone

(334) 201-7477

NPI assigned

May 16, 2014

Last updated

Dec 8, 2016By the provider in NPPES

Sex

Male

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 AL

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, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Counseling Associates of Montgomery

  • Mental Health Counselor
  • Montgomery, AL
  • NPI 1518431675
  Medicare reassignment NPD Authorized official
• Haven Intergrative Therapy Center, LLC

  • Mental Health Counselor
  • Montgomery, AL
  • NPI 1730602996
  NPD (past)

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

{
    "created_epoch": "1400198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481155200000",
    "number": "1447661087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1623 FOREST AVE",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061541",
            "telephone_number": "334-201-7477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1623 FOREST AVE",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061541",
            "telephone_number": "334-201-7477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGUM",
        "first_name": "ROBBIE",
        "name_prefix": "Mr.",
        "credential": "M.S.,NCC,LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-16",
        "last_updated": "2016-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AL",
            "license": "3631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Calyn Ashley Malloy, RN, MSN, FNP-C
• Margaret Doreen Maloney, MD
• Stephan Idris Mambazo, MSW, LICSW-PIP, CGRS
• Maryanna Elizabeth Manderville, LPC
• Joseph Anthony Mangini, M.D.
• Ashley Cannon Mann, CRNP
• Clint D Mann, DPT
• Kelly Mann, CRNP
• Susan Harrell Mann, RDN, LD, CDE
• Derrick C Manora, LPC

• Counselor in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Counselor in Alabama

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