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EDMORE MANGENA LPC
NPI 1629291422
Counselor - Professional in Valdez, AK

Active since April 10, 2007PECOS EnrolledAccepts Medicare Assignment
911 MEALS AVENUE, VALDEZ, AK 99686(078) 352-8389(907) 834-1890 Get Directions Write a Review

NPPES record last updated: December 21, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Edmore Mangena Lpc NPPES

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

EDMORE MANGENA LPC (NPI 1629291422) is an individual professional provider in Valdez, Alaska, licensed in Alaska (PCOP916) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1629291422
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameEDMORE MANGENACredential: LPC
Location Address911 MEALS AVENUEValdez, AK 99686
Mailing AddressPo Box 550Valdez, AK 99686-0550 · (907) 835-2249 · Fax (907) 834-1890
Phone(078) 352-8389
Fax(907) 834-1890
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateApril 10, 2007
Last NPPES UpdateDecember 21, 2021
NPPES CertifiedDecember 20, 2021
✔ NPI 1629291422 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 AK · PCOP916
911 MEALS AVENUE, Valdez, AK 99686
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Edmore Mangena Lpc 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 ID7911358072
PECOS Enrollment IDI20240112002787
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Edmore Mangena reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

City Of Valdez
0.2 mi
Mental Health (Including Community Mental Health Center)
911 MEALS AVENUE
Valdez, AK 99686
  • Reassigned Medicare billing, Alaska enrollment
  • 14 clinicians in this Medicare group
NPI 1962525097 (907) 835-2838
Providence Health & Services Washington
313 mi
Community/Behavioral Health
1818 E REZANOF DR
Kodiak, AK 99615
  • Reassigned Medicare billing, Alaska enrollment
  • 14 clinicians in this Medicare group
NPI 1477563344 (907) 481-2400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 10

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

CORINA HOPKINS-VACCA MD
Family Medicine
911 MEALS AVENUE
VALDEZ, AK 99686
Chugach (907) 835-2249
CITY OF VALDEZ
Clinic/Center (Rehabilitation, Substance Use Disorder)
911 MEALS AVENUE
VALDEZ, AK 99686
Chugach (907) 835-2838
CITY OF VALDEZ
Medicare Defined Swing Bed Unit
911 MEALS AVENUE
VALDEZ, AK 99686
Chugach (907) 835-2249
SHANNON M MAHONEY OTRL
Occupational Therapist
911 MEALS AVENUE
VALDEZ, AK 99686
Chugach (907) 835-2249
CITY OF VALDEZ
Clinic/Center (Critical Access Hospital)
911 MEALS AVENUE
VALDEZ, AK 99686
Chugach (907) 835-2249
DR. AMINA MADELEINE TURTON PHD
Counselor (Mental Health)
911 MEALS AVENUE
VALDEZ, AK 99686
Chugach (907) 835-2838
MS. ANGELA GIGI OBREN MSPT
Physical Therapist
911 MEALS AVENUE
VALDEZ, AK 99686
Chugach (907) 834-1862
KELLY ELIZABETH SPITTLER RD,LD
Dietitian, Registered
911 MEALS AVENUE
VALDEZ, AK 99686
Chugach (907) 835-2852

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 Edmore Mangena's NPI number?

The NPI number for Edmore Mangena is 1629291422. It was assigned to this individual provider in the NPPES registry on April 10, 2007.

Where is Edmore Mangena located?

Edmore Mangena practices at 911 Meals Avenue, Valdez, AK 99686. The listed phone number is (078) 352-8389.

What is Edmore Mangena's specialty?

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

Is Edmore Mangena enrolled in Medicare?

Yes. Edmore Mangena 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.

Which organizations bill Medicare for Edmore Mangena's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edmore Mangena reassigns Medicare benefits to 2 organizations: City Of Valdez (Valdez, AK) and Providence Health & Services Washington (Kodiak, AK). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Edmore Mangena's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Edmore Mangena accept?

Health plans from Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Edmore Mangena 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 Edmore Mangena was last updated on December 21, 2021. 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.