Individual provider Active NPI

Aaron Mangin

  • Psychiatric/Mental Health Nurse Practitioner
  • Downers Grove, IL
National Provider Identifier
1699494153
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
71013243A Issued in IN
Practice address
1431 Opus PL Ste 110
Downers Grove, IL 60515-1164
Phone
(888) 279-0002
NPI assigned
Aug 26, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1125707 TX
Paramedic 146L00000X 061073482 IL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 209.026233 IL
Registered Nurse 163W00000X 28243197A IN
Military Health Care Provider 171000000X
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 71013243A IN Primary

Addresses

Primary practice location

1431 Opus PL Ste 110
Downers Grove, IL 60515-1164

Mailing address

1431 Opus PL Ste 110
Downers Grove, IL 60515-1164
Phone (888) 279-0002

Other practice location 1

816 Featherstone Rd
Rockford, IL 61107-6300
Phone (815) 227-0081

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
061073482ILMDParamedic
28243197AINMDRegistered Nurse
209.026233ILMDPsychiatric/Mental Health Nurse Practitioner
71013243AINMDPsychiatric/Mental Health Nurse Practitioner
1125707TXMDPsychiatric/Mental Health Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: aaron.mangin.1@22469.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1661472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1699494153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 OPUS PL STE 110",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151164",
            "telephone_number": "888-279-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 OPUS PL STE 110",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151164",
            "telephone_number": "888-279-0002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "816 Featherstone Rd",
            "address_purpose": "LOCATION",
            "city": "Rockford",
            "state": "IL",
            "postal_code": "611076300",
            "country_code": "US",
            "telephone_number": "815-227-0081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANGIN",
        "first_name": "AARON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-26",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1125707",
            "primary": false
        },
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "IL",
            "license": "061073482",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209.026233",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28243197A",
            "primary": false
        },
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "71013243A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downers Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.