Individual provider Active NPI

Krista Bailey Manganiello, M.A.

  • Mental Health Counselor
  • Winter Park, FL
National Provider Identifier
1619145075
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH13097 Issued in FL
Practice address
2479 Aloma Ave
Winter Park, FL 32792-2541
Phone
(407) 657-6692
NPI assigned
Feb 19, 2008
Last updated
Oct 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH13097 FL Primary
Behavior Analyst 103K00000X MH13097 FL

Addresses

Primary practice location

2479 Aloma Ave
Winter Park, FL 32792-2541

Mailing address

8297 Westcott Shore Dr
Orlando, FL 32829-7682
Phone (407) 595-1619

Other identifiers 2

IdentifierTypeStateIssuer
016194800MedicaidFL
022015700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MH13097FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1619145075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8297 WESTCOTT SHORE DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328297682",
            "telephone_number": "407-595-1619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2479 ALOMA AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327922541",
            "telephone_number": "407-657-6692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGANIELLO",
        "first_name": "KRISTA",
        "middle_name": "BAILEY",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-19",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH13097",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "MH13097",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016194800",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022015700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2025; 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.