Active NPI
Dawn M Manganello, LMHC
- Mental Health Counselor
- West Babylon, NY
National Provider Identifier
1790442184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 012516-01
- Practice address
- 180 Great East Neck Rd
West Babylon, NY 11704-7821 - Phone
- (516) 662-8849
- NPI assigned
- Nov 20, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 012516-01 | NY | Primary |
Addresses
Primary practice location
180 Great East Neck Rd
West Babylon, NY 11704-7821
Mailing address
180 Great East Neck Rd
West Babylon, NY 11704-7821
Phone (516) 662-8849
Other practice location 1
1441 Broadway Fl 5
New York, NY 10018-1905
Phone (646) 410-1188
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
| License | State | Type | Specialty |
|---|---|---|---|
| 012516-01 | NY | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inspiring Wellness Private Practice Under Nicole L Coogan LCSW PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Sayville, NY
- NPI 1124829643
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677715200000",
"number": "1790442184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 GREAT EAST NECK RD",
"city": "WEST BABYLON",
"state": "NY",
"postal_code": "117047821",
"telephone_number": "516-662-8849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 GREAT EAST NECK RD",
"city": "WEST BABYLON",
"state": "NY",
"postal_code": "117047821",
"telephone_number": "516-662-8849"
}
],
"practiceLocations": [
{
"address_1": "1441 Broadway Fl 5",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100181905",
"country_code": "US",
"telephone_number": "646-410-1188",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANGANELLO",
"first_name": "DAWN",
"middle_name": "M",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-20",
"last_updated": "2023-03-02",
"certification_date": "2023-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "012516-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Babylon, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.