Individual provider Active NPI

Christine Mangum, LCMHCA

  • Mental Health Counselor
  • Chapel Hill, NC
National Provider Identifier
1700568011
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A19088 Issued in NC
Practice address
501 Eastowne Dr Ste 220
Chapel Hill, NC 27514-6224
Phone
(919) 408-3212
NPI assigned
Aug 4, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A19088 NC Primary

Addresses

Primary practice location

501 Eastowne Dr Ste 220
Chapel Hill, NC 27514-6224

Mailing address

17 Chestnut Bluffs LN
Durham, NC 27713-9170
Phone (910) 584-1632

Other names 1

  • Christine Godwin Former name

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

State licenses

LicenseStateTypeSpecialty
A19088NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Psychological & Family Services Inc CurrentSince May 18, 2026 Accepting new patients
CPFS Consultants PLLC Mental Health CurrentSince Aug 6, 2023 Accepting new patients

Locations

501 Eastowne Dr
Ste 220
Chapel Hill, NC 27514
Phone (919) 408-3212

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1691107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1700568011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 CHESTNUT BLUFFS LN",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277139170",
            "telephone_number": "910-584-1632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 EASTOWNE DR STE 220",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275146224",
            "telephone_number": "919-408-3212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGUM",
        "first_name": "CHRISTINE",
        "credential": "LCMHCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-04",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A19088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "GODWIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; 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.