JENNA RAE MANGUM
NPI 1770299000
Counselor in Knoxville, TN

Active since January 30, 2023
3006 LAKE BROOK BLVD, KNOXVILLE, TN 37909(865) 637-9711 Get Directions Write a Review

NPPES record last updated: May 31, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: May 31, 2023, Jan 30, 2023 (2 updates tracked since 2023).

About Jenna Rae Mangum NPPES

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

JENNA RAE MANGUM (NPI 1770299000) is an individual counselor in Knoxville, Tennessee and active in the NPI registry since January 2023. She maintains a secondary practice location in Knoxville.

NPPES Registry Identity

NPI1770299000
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameJENNA RAE MANGUM
Location Address3006 LAKE BROOK BLVDKnoxville, TN 37909-1137
Mailing Address200 Tech Center DrKnoxville, TN 37912-2747 · (865) 637-9711
Sole ProprietorNo
Enumeration DateJanuary 30, 2023
Last NPPES UpdateMay 31, 20232 updates tracked since enumeration
NPPES CertifiedMay 31, 2023
NPI 1770299000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Also ListedSocial WorkerTaxonomy 104100000X
3006 LAKE BROOK BLVD, Knoxville, TN 37909

Secondary Practice Location 1

Location 12455 Sutherland AveKnoxville, TN 37919-2355 · Phone (800) 255-9711

Other Providers at the Same Location NPPES 20

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

Case Manager/Care Coordinator
3006 LAKE BROOK BLVD
KNOXVILLE, TN 37909
Counselor (Mental Health)
3006 LAKE BROOK BLVD
KNOXVILLE, TN 37909
Behavior Technician
3006 LAKE BROOK BLVD
KNOXVILLE, TN 37909
Counselor
3006 LAKE BROOK BLVD
KNOXVILLE, TN 37909
Counselor
3006 LAKE BROOK BLVD
KNOXVILLE, TN 37909
Case Manager/Care Coordinator
3006 LAKE BROOK BLVD
KNOXVILLE, TN 37909
Social Worker
3006 LAKE BROOK BLVD
KNOXVILLE, TN 37909
Counselor
3006 LAKE BROOK BLVD
KNOXVILLE, TN 37909

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 Jenna Mangum's NPI number?

The NPI number for Jenna Mangum is 1770299000. It was assigned to this individual provider in the NPPES registry on January 30, 2023.

Where is Jenna Mangum located?

Jenna Mangum practices at 3006 Lake Brook Blvd, Knoxville, TN 37909. The listed phone number is (865) 637-9711.

What is Jenna Mangum's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Jenna Mangum was last updated on May 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.