Active NPI
Allison Mangone, LMFT
- Marriage & Family Therapist
- Brookhaven, GA
National Provider Identifier
1952877482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFT001876
- Practice address
- 2449 Wawona Dr NE
Brookhaven, GA 30319-3713 - Phone
- (404) 907-3746
- NPI assigned
- Oct 23, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFT001876 | GA | Primary |
Addresses
Primary practice location
2449 Wawona Dr NE
Brookhaven, GA 30319-3713
Mailing address
2449 Wawona Dr NE
Brookhaven, GA 30319-3713
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MFT001876 | Other | GA | COMPOSITE BOARD OF PROFESSIONAL COUNSELORS, SOCIAL WORKERS, & MARRIAGE AND FAMIL |
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 |
|---|---|---|---|
| MFT001876 | GA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682640000000",
"number": "1952877482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2449 WAWONA DR NE",
"city": "BROOKHAVEN",
"state": "GA",
"postal_code": "303193713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2449 WAWONA DR NE",
"city": "BROOKHAVEN",
"state": "GA",
"postal_code": "303193713",
"telephone_number": "404-907-3746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANGONE",
"first_name": "ALLISON",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-23",
"last_updated": "2023-04-28",
"certification_date": "2023-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "GA",
"license": "MFT001876",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMPOSITE BOARD OF PROFESSIONAL COUNSELORS, SOCIAL WORKERS, & MARRIAGE AND FAMIL",
"identifier": "MFT001876",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brookhaven, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.