Lisa Ann Mangold, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

5605 Issued in SC

Practice address

125 Muddy Toes Dr
Anderson, SC 29626-5349

Phone

(864) 353-3384

Fax

(864) 222-9715

NPI assigned

Sep 3, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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 and National Provider Directory roles.

• Counseling for Life, Inc.

  • Professional Counselor
  • Anderson, SC
  • NPI 1588954994
  NPD (past)

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

{
    "created_epoch": "1378166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389139200000",
    "number": "1750716205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 GRAND OAK CIR",
            "city": "PENDLETON",
            "state": "SC",
            "postal_code": "296701648",
            "telephone_number": "832-724-3524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 MUDDY TOES DR",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296265349",
            "telephone_number": "864-353-3384",
            "fax_number": "864-222-9715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGOLD",
        "first_name": "LISA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-03",
        "last_updated": "2014-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "67967",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "5605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter George Malmquist, M.D.
• Lourdes Malone
• Deborah Maness, BCBA
• Fran Maney
• Alissa Marie Manfredi, MD
• Philip M. Manly
• April Nicole Mann, APRN
• Lakshmangowda Maragondanahalli, M D
• Donna Gibson Marcengill, FNP-C
• Janet Lee Marchant, APRN FNP

• Mental Health Counselor in Anderson, SC
• Providers in Anderson, SC by specialty
• Mental Health Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2014; 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.