MARTHA MANGINO LPC
NPI 1922140185
Counselor - Professional in Trinidad, CO

Q: What is Martha Mangino's NPI number?

The NPI number for Martha Mangino is 1922140185. It was assigned to this individual provider in the NPPES registry on February 13, 2007.

Q: What is Martha Mangino's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Martha Mangino was last updated on August 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 February 13, 2007PECOS EnrolledAccepts Medicare Assignment

417 S INDIANA AVE, TRINIDAD, CO 81082(719) 545-2746(719) 584-0119 Get Directions Write a Review

NPPES record last updated: August 22, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Martha Mangino Lpc NPPES

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

MARTHA MANGINO LPC (NPI 1922140185) is an individual professional provider in Trinidad, Colorado, licensed in Colorado (LPC.0004351) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1922140185

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMARTHA MANGINOCredential: LPC

Location Address417 S INDIANA AVETrinidad, CO 81082

Mailing Address41 Montebello Rd Ste 202Pueblo, CO 81001-1366 · (719) 545-2746 · Fax (719) 584-0119

Phone(719) 545-2746

Fax(719) 584-0119

Sole ProprietorNo

Medical School CMSOtherGraduated 1996

Enumeration DateFebruary 13, 2007

Last NPPES UpdateAugust 22, 2018

✔ NPI 1922140185 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 CO · LPC.0004351

417 S INDIANA AVE, Trinidad, CO 81082

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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

Martha Mangino 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 ID1254775703

PECOS Enrollment IDI20240223000080

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.

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.

JOANNE ESPINOSA R N

Counselor (Mental Health)