Individual provider Active NPI

Lorraine S Mangold, MA, CCC-SLP

  • Speech-Language Pathologist
  • Keyser, WV
National Provider Identifier
1740461987
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP-0130 Issued in WV
Practice address
One Baker Place
Mineral County Board of Education
Keyser, WV 26726
Phone
(304) 298-3632
NPI assigned
Nov 15, 2007
Last updated
Nov 15, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP-0130 WV Primary

Addresses

Primary practice location

One Baker Place
Mineral County Board of Education
Keyser, WV 26726

Mailing address

PO Box 166
New Creek School Road
New Creek, WV 26743-0166
Phone (304) 788-4031

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
SLP-0130WVMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mineral County Board of Education Past Accepting new patients
Mineral County Board of Education Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195084800000",
    "number": "1740461987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 166",
            "address_2": "NEW CREEK SCHOOL ROAD",
            "city": "NEW CREEK",
            "state": "WV",
            "postal_code": "267430166",
            "telephone_number": "304-788-4031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE BAKER PLACE",
            "address_2": "MINERAL COUNTY BOARD OF EDUCATION",
            "city": "KEYSER",
            "state": "WV",
            "postal_code": "26726",
            "telephone_number": "304-298-3632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGOLD",
        "first_name": "LORRAINE",
        "middle_name": "S",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-15",
        "last_updated": "2007-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WV",
            "license": "SLP-0130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keyser, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; 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.