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JESSICA MARIE MANGANO MED
NPI 1124868195
Counselor - Professional in Hixson, TN

Active since May 28, 2024PECOS Enrolled
6216 DAYTON BLVD STE D, HIXSON, TN 37343(423) 521-5126 Get Directions Write a Review

NPPES record last updated: May 28, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jessica Marie Mangano Med NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA MARIE MANGANO MED (NPI 1124868195) is an individual professional provider in Hixson, Tennessee, licensed in Tennessee (7291) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124868195
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJESSICA MARIE MANGANOCredential: MED
Location Address6216 DAYTON BLVD STE DHixson, TN 37343-2766
Mailing Address4730 Briarwood DrChattanooga, TN 37416-3114 · (317) 629-7227
Phone(423) 521-5126
Sole ProprietorNo
Enumeration DateMay 28, 2024
NPPES CertifiedMay 28, 2024
✔ NPI 1124868195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in TN · 7291
6216 DAYTON BLVD STE D, Hixson, TN 37343
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Marie Mangano Med is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Mangano's NPI number?

The NPI number for Jessica Mangano is 1124868195. It was assigned to this individual provider in the NPPES registry on May 28, 2024.

Where is Jessica Mangano located?

Jessica Mangano practices at 6216 Dayton Blvd Ste D, Hixson, TN 37343. The listed phone number is (423) 521-5126.

What is Jessica Mangano's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jessica Mangano enrolled in Medicare?

Yes. Jessica Mangano is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jessica Mangano was last updated on May 28, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.