JESSICA GRACE MANGUM
NPI 1316685761
Counselor - Addiction (Substance Use Disorder) in Apex, NC

Active since May 25, 2022
2172 N SALEM ST STE 105, APEX, NC 27523(919) 639-4360 Get Directions Write a Review

NPPES record last updated: May 25, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jessica Grace Mangum NPPES

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

JESSICA GRACE MANGUM (NPI 1316685761) is an individual addiction (substance use disorder) provider in Apex, North Carolina and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1316685761
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameJESSICA GRACE MANGUM
Location Address2172 N SALEM ST STE 105Apex, NC 27523-6457
Mailing Address65 Creekstone CtHolly Springs, NC 27540-7111 · (919) 745-0464
Sole ProprietorYes
Enumeration DateMay 25, 2022
NPPES CertifiedMay 25, 2022
NPI 1316685761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
2172 N SALEM ST STE 105, Apex, NC 27523

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

Psychiatry & Neurology (Addiction Medicine)
2172 N SALEM ST STE 105
APEX, NC 27523
Counselor (Addiction (Substance Use Disorder))
2172 N SALEM ST STE 105
APEX, NC 27523

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 Mangum's NPI number?

The NPI number for Jessica Mangum is 1316685761. It was assigned to this individual provider in the NPPES registry on May 25, 2022.

Where is Jessica Mangum located?

Jessica Mangum practices at 2172 N Salem St Ste 105, Apex, NC 27523. The listed phone number is (919) 639-4360.

What is Jessica 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 Jessica Mangum was last updated on May 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.