Active NPI
Haley Jackson Mangiafesto, MS, LMHC, LCMHC
- Mental Health Counselor
- Gastonia, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 20182
- Practice address
- 111 E 3Rd Ave
Gastonia, NC 28052-4317 - Phone
- (704) 874-3300
- Fax
- (704) 874-0065
- NPI assigned
- Aug 18, 2021
- Last updated
- Mar 18, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 20182 | NC | Primary |
| Mental Health Counselor | 101YM0800X | 014125 | NY |
Addresses
Primary practice location
111 E 3Rd Ave
Gastonia, NC 28052-4317
Mailing address
200 E 2ND Ave
Gastonia, NC 28052-4358
Phone (704) 874-1936
Other practice location 1
7400 Carmel Executive Park Dr
Suite 155
Charlotte, NC 28226-8242
Phone (828) 350-1177
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241219003314 | NC | Practitioner - Mental Health Counselor | 2163959727 |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
7400 Carmel Executive Park Dr
Suite 155
Charlotte, NC 28226-8242
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20182 | NC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Behavioral Care of North Carolina, PC | Current | Accepting new patients | |
| Optum Behavioral Care of North Carolina, P.C. | Current | Accepting new patients |
Locations
1101 Marco Dr
Ste 200
Apex, NC 27502
Phone (844) 534-7202
7400 Carmel Executive Park Dr
Ste 155
Charlotte, NC 28226
Phone (844) 534-7208
7029 Albert Pick Rd
Ste 200
Greensboro, NC 27409
Phone (704) 885-0268
Organizations & group practices 2
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.
-
dba Carolina Behavioral Care Centers
- Counseling Psychologist
- Hillsborough, NC
- NPI 1629843933
-
- Clinical Social Worker
- Gulfport, MS
- NPI 1861371718
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773792000000",
"number": "1548936784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 E 2ND AVE",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280524358",
"telephone_number": "704-874-1936",
"fax_number": "704-865-4614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 E 3RD AVE",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280524317",
"telephone_number": "704-874-3300",
"fax_number": "704-874-0065"
}
],
"practiceLocations": [
{
"address_1": "7400 Carmel Executive Park Dr",
"address_2": "Suite 155",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282268242",
"country_code": "US",
"telephone_number": "828-350-1177",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANGIAFESTO",
"first_name": "HALEY",
"middle_name": "JACKSON",
"credential": "MS, LMHC, LCMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-18",
"last_updated": "2026-03-18",
"certification_date": "2026-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "20182",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "014125",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gastonia, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; 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.