Mallori Nicole Mangus-Hayden, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

20187 Issued in TX

Practice address

2458 E 11TH St
Odessa, TX 79761-4236

Phone

(432) 582-2444

Fax

(432) 582-2449

NPI assigned

Aug 19, 2006

Last updated

May 22, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Mallori Mangus-Hayden

  • Professional Counselor
  • Lansing, MI
  • NPI 1245709948
  NPD (past) Authorized official
• Alternative Life Solutions Counseling PLLC

  • Professional Counselor
  • Odessa, TX
  • NPI 1184870800
  NPD (past)

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432252800000",
    "number": "1740395193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2458 E 11TH ST",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614236",
            "telephone_number": "432-582-2444",
            "fax_number": "432-582-2449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2458 E 11TH ST",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614236",
            "telephone_number": "432-582-2444",
            "fax_number": "432-582-2449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGUS-HAYDEN",
        "first_name": "MALLORI",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2015-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "20187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rizwan Malik, M.D.
• Dikshyant Malla, MD
• Christian Danielle Mancha
• Siva Mandadi, MD
• Ida Mangrem, P.T.A.
• Manisha Desai
• Praneeth R Manne, PHARMD
• Kevin Mannix, PT
• Dannen Douglas Mannschreck, M.D.
• Rebecca A Mantsch, DO

• Mental Health Counselor in Odessa, TX
• Providers in Odessa, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2015; 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.