Active NPI
Aaron Mangin
- Psychiatric/Mental Health Nurse Practitioner
- Downers Grove, IL
National Provider Identifier
1699494153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 71013243A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 061073482 | IL | MD | Paramedic |
| 28243197A | IN | MD | Registered Nurse |
| 209.026233 | IL | MD | Psychiatric/Mental Health Nurse Practitioner |
| 71013243A | IN | MD | Psychiatric/Mental Health Nurse Practitioner |
| 1125707 | TX | MD | Psychiatric/Mental Health Nurse Practitioner |
Interoperability endpoints
- 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.