Carlton Mangum, SSW
NPI 1194947051ActiveIndividual· Counselor, Mental Health· St. George, UT
Counselor, Mental Health (SSW) with Southwest Center, practicing in St. George, Utah. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1194947051 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | SSW |
| Sole proprietor | No |
| NPI issued | May 2, 2007 |
| Last updated in NPPES | Aug 5, 2020 |
| Certified by provider | Aug 5, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | 6496349-6004 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (UT) |
|---|
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | Mental Health Counselor |
| Telehealth | Offers telehealth |
Medical group
- Southwest CenterKanab, UT · 18 clinicians
Other mental health counselors in St. George
- 1922551092
All 178 mental health counselors in St. George · All mental health counselors in Utah