Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Samantha K Mangum

Individual provider Mental Health Counselor · NPI 1942593694

MS. Samantha K Mangum is a Mental Health Counselor in Boulder, Colorado. Qualified in 2018, 8 years ago. Practices with Clinica Campesina Family Health Services, a 95-clinician group and accepts Medicare assignment.

Years since qualifying
8
In the registry since
2011
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Practice location Address checks out

1333 Iris Ave
Boulder, CO 80304-2226
Phone: (303) 444-9126
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1942593694
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 26, 2011
Last updated in NPPESMay 26, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Clinica Campesina Family Health Services — 95 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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