KRYSTAL PENMAN MANGANDI LCSW
NPI 1417201989
Social Worker - Clinical in Charlotte, NC

Q: What is Krystal Mangandi's NPI number?

The NPI number for Krystal Mangandi is 1417201989. It was assigned to this individual provider in the NPPES registry on November 5, 2012.

Q: What is Krystal Mangandi's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Krystal Mangandi was last updated on March 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since November 05, 2012PECOS EnrolledAccepts Medicare Assignment

5855 EXECUTIVE CENTER DR, SUITE 111, CHARLOTTE, NC 28212(704) 537-1202 Get Directions Write a Review

NPPES record last updated: March 19, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Krystal Penman Mangandi Lcsw NPPES

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

KRYSTAL PENMAN MANGANDI LCSW (NPI 1417201989) is an individual clinical provider in Charlotte, North Carolina, licensed in North Carolina (C008071) and active in the NPI registry since November 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1417201989

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameKRYSTAL PENMAN MANGANDICredential: LCSW

Location Address5855 EXECUTIVE CENTER DR, SUITE 111Charlotte, NC 28212-8883

Mailing Address5855 Executive Center Dr, Suite 111Charlotte, NC 28212-8883 · (704) 537-1202 · Fax (704) 537-1209

Phone(704) 537-1202

Sole ProprietorNo

Medical School CMSOtherGraduated 2000

Enumeration DateNovember 5, 2012

Last NPPES UpdateMarch 19, 2013

✔ NPI 1417201989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in NC · C008071

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

5855 EXECUTIVE CENTER DR, Charlotte, NC 28212

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, CareSource, Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Krystal Penman Mangandi Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7416322573

PECOS Enrollment IDI20230404000931

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28212 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $54.12 – $165.09

Typical copayment $0.00 (range $13.53 – $41.27)

Most-billed visit code NA

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

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

ASHLEY TAYLOR RIVAS

Marriage & Family Therapist

5855 EXECUTIVE CENTER DR, SUITE 111
CHARLOTTE, NC 28212

Mecklenburg County (704) 537-1202

KATIE NICOLE CHRISTENSEN

Counselor (Professional)

5855 EXECUTIVE CENTER DR
CHARLOTTE, NC 28212

Mecklenburg County (704) 537-1202

DENTAVIUS LAMARN BARBER LPC, LCASA

Counselor (Mental Health)

5855 EXECUTIVE CENTER DR, SUITE 111
CHARLOTTE, NC 28212

Mecklenburg County (704) 537-1202

ALEXANDER YOUTH NETWORK

Community/Behavioral Health

5855 EXECUTIVE CENTER DR, SUITE 105
CHARLOTTE, NC 28212

Mecklenburg County (704) 537-1202

AISHA SERENE CALHOUN LCSW

Social Worker (Clinical)

5855 EXECUTIVE CENTER DR
CHARLOTTE, NC 28212

Mecklenburg County (704) 537-1202

MR. GEORGE CANNELLA MA

Counselor (Mental Health)

5855 EXECUTIVE CENTER DR, SUITE 111
CHARLOTTE, NC 28212

Mecklenburg County (704) 537-1289

ANJALAYA ROBINSON MSW, LCSWA

Social Worker (Clinical)

5855 EXECUTIVE CENTER DR
CHARLOTTE, NC 28212

Mecklenburg County (704) 537-1202

MRS. ASHLEY ANN WILLIAMS LCSW

Social Worker (Clinical)

5855 EXECUTIVE CENTER DR, 111
CHARLOTTE, NC 28212

Mecklenburg County (704) 227-9120

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 Krystal Mangandi's NPI number?

The NPI number for Krystal Mangandi is 1417201989. It was assigned to this individual provider in the NPPES registry on November 5, 2012.

Where is Krystal Mangandi located?

Krystal Mangandi practices at 5855 Executive Center Dr Suite 111, Charlotte, NC 28212. The listed phone number is (704) 537-1202.

What is Krystal Mangandi's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Krystal Mangandi enrolled in Medicare?

Yes. Krystal Mangandi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Krystal Mangandi accept?

Health plans from Blue Cross and Blue Shield of NC, CareSource, Providence Health Plan and UnitedHealthcare list Krystal Mangandi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Krystal Mangandi was last updated on March 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.