Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104538578 Individual Practitioner Female Practitioner

Marisa Mango

Psychologist - Counseling • Tampa, FL

Professional Overview & Biography Verified Profile Summary

Marisa Mango is a registered healthcare professional specializing in Psychologist - Counseling in Tampa, FL. Practice services are available at 13000 BRUCE B DOWNS BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

13000 Bruce B Downs Blvd

Tampa, FL 336124745

Telephone 8139722000
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Counseling in Tampa, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.0 Yrs
State Avg: 24.9 Yrs
Regional Practice Density
22 Specialists

Practicing in Tampa, FL (311 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-12-16
Psychologist - Counseling Primary Specialty

NUCC Taxonomy Code: 103TC1900X

State License FL PY11724

A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Bridget Shoulders-Odom , MS, ACNP-BC

Nurse Practitioner - Acute Care

NPI 1003079906

Master of Science, ACNPBC

Dr. Luis Alvarado , MD

Internal Medicine

NPI 1003082645

Doctor of Medicine (M.D.)

Jamie Green , MSED, MSW

Social Worker - Clinical

NPI 1003230004

Master of Science in Education, Master of Social Work

Crystal Blair , ARNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1003269424

Advanced Registered Nurse Practitioner

Islena Keyes , RD, LD

Dietitian, Registered

NPI 1003329863

Registered Dietitian, Licensed Dietitian

NPI 1003398652

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 19, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location December 19, 2022

Registered at 13000 BRUCE B DOWNS BLVD, TAMPA, FL 336124745 (Tel: 8139722000)

📍
Updated Business Mailing Address December 19, 2022

Registered at 9717 LAKE JASMINE DR APT 9717, TAMPA, FL 336261873

👤
Provider Name / Credentials Updated December 19, 2022

Recorded as MARISA MANGO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 19, 2022

Psychologist (License #PY11724 in FL)

🟢
Initial NPI Registration & Enumeration December 19, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104538578
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 19, 2022
Last Update: December 19, 2022
Sole Proprietor: Yes

Mailing Address

9717 Lake Jasmine Dr Apt 9717

Tampa, FL 336261873

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.