Stephanie Gabrielle Mangan, MRC, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

KY-1597 Issued in KY

Practice address

1092 Duval St
250
Lexington, KY 40515-8908

Phone

(859) 523-7383

Fax

(859) 523-7384

NPI assigned

Jan 25, 2012

Last updated

Nov 14, 2013By 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 2

Addresses

Other names 1

• Ms. Stephanie Gabrielle Sumner Former name

Medicare fee-for-service enrollment

Enrolled in KY

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

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  KY

  Medicare reassignment NPD

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

{
    "created_epoch": "1327449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384387200000",
    "number": "1508137399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1092 DUVAL ST",
            "address_2": "250",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405158908",
            "telephone_number": "859-523-7383",
            "fax_number": "859-523-7384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1092 DUVAL ST",
            "address_2": "250",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405158908",
            "telephone_number": "859-523-7383",
            "fax_number": "859-523-7384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGAN",
        "first_name": "STEPHANIE",
        "middle_name": "GABRIELLE",
        "name_prefix": "Ms.",
        "credential": "MRC, LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-25",
        "last_updated": "2013-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "KY-1597",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "SUMNER",
            "middle_name": "GABRIELLE",
            "prefix": "MS.",
            "credential": "MRC, LPCA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Samantha Anne Mancuso, DNP, APRN, AGACNP-BC
• Anjana Mandal
• Clark Mandel
• Andrea Mandeville
• Martin Joseph Mangan III, MD
• Rebecca Jo Manges, OPT
• Steven Joseph Mangine, PH.D.
• Joshua Mangunsong
• Johann Mani, PHARMD, BCPS
• Marthanne Olivia Manion, MA LMFT

• Mental Health Counselor in Lexington, KY
• Providers in Lexington, KY by specialty
• Mental Health Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2013; 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.