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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JENNIFER MANGUM LADAC
NPI 1265365639
Counselor - Addiction (Substance Use Disorder) in Albuquerque, NM

Active since June 05, 2026
100 DEPUTY DEAN MIERA DR SW, ALBUQUERQUE, NM 87151(505) 365-7519 Get Directions Write a Review

NPPES record added: June 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jennifer Mangum Ladac NPPES

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

JENNIFER MANGUM LADAC (NPI 1265365639) is an individual addiction (substance use disorder) provider in Albuquerque, New Mexico, licensed in New Mexico (CTB-2024-0658) and active in the NPI registry since June 2026. She maintains a secondary practice location in Albuquerque.

NPPES Registry Identity

NPI1265365639
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameJENNIFER MANGUMCredential: LADAC
Location Address100 DEPUTY DEAN MIERA DR SWAlbuquerque, NM 87151-1000
Mailing Address5901 Zuni Rd SeAlbuquerque, NM 87108-3073 · (505) 365-7519
Phone(505) 365-7519
Sole ProprietorNo
Enumeration DateJune 5, 2026
NPPES CertifiedJune 5, 2026
✔ NPI 1265365639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in NM · CTB-2024-0658
100 DEPUTY DEAN MIERA DR SW, Albuquerque, NM 87151
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Secondary Practice Location 1

Location 15901 Zuni Rd SEAlbuquerque, NM 87108-3073 · Phone (505) 468-1560

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RACHEL THOMAS LCSW
Social Worker (Clinical)
100 DEPUTY DEAN MIERA DR SW
ALBUQUERQUE, NM 87151
Bernalillo County (505) 839-8700
GRACE CHINENYE AMAH
Nurse Practitioner (Psychiatric/Mental Health)
100 DEPUTY DEAN MIERA DR SW
ALBUQUERQUE, NM 87151
Bernalillo County (505) 468-7777
DR. MURTAJA ABDULELAH KAMAL-ALDEEN DDS
Dentist (General Practice)
100 DEPUTY DEAN MIERA DR SW
ALBUQUERQUE, NM 87151
Bernalillo County (505) 839-8700
APRIL A GURRY CNP
Nurse Practitioner (Family)
100 DEPUTY DEAN MIERA DR SW
ALBUQUERQUE, NM 87151
Bernalillo County (505) 839-8916
DR. ALEXANDER REESE NORTON MD
Psychiatry & Neurology (Psychiatry)
100 DEPUTY DEAN MIERA DR SW
ALBUQUERQUE, NM 87151
Bernalillo County (505) 272-3303
JANICE ALTA JUAN
Social Worker
100 DEPUTY DEAN MIERA DR SW
ALBUQUERQUE, NM 87151
Bernalillo County (505) 839-8974
MR. SEAN FRANCIS BLANCHFIELD FNP-C
Nurse Practitioner (Family)
100 DEPUTY DEAN MIERA DR SW
ALBUQUERQUE, NM 87151
Bernalillo County (505) 272-8163
RECOVERY SERVICES OF NEW MEXICO MDC, LLC
Clinic/Center (Methadone)
100 DEPUTY DEAN MIERA DR SW
ALBUQUERQUE, NM 87151
Bernalillo County (505) 833-4491

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 Jennifer Mangum's NPI number?

The NPI number for Jennifer Mangum is 1265365639. It was assigned to this individual provider in the NPPES registry on June 5, 2026.

Where is Jennifer Mangum located?

Jennifer Mangum practices at 100 Deputy Dean Miera Dr SW, Albuquerque, NM 87151. The listed phone number is (505) 365-7519.

What is Jennifer Mangum's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jennifer Mangum was last updated on June 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.