IndividualActive
Marisa Mango
NPI 1104538578 · Counseling Psychologist · Tampa, FL
Marisa Mango is a Counseling Psychologist provider in Tampa, FL (NPI 1104538578).
Provider details
- NPI number
- 1104538578
- Entity type
- Individual
- Primary specialty
- Counseling PsychologistBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- PY11724 (FL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
13000 Bruce B Downs Blvd
Tampa, FL 33612-4745
Phone: (813) 972-2000
Street-level locationGet directions
Mailing address
9717 Lake Jasmine Dr Apt 9717
Tampa, FL 33626-1873
Registry dates
- Enumerated
- 2022-12-19
- Last updated
- 2022-12-19
- Certified
- 2022-12-16
Frequently asked questions
- What is Marisa Mango's NPI number?
- Marisa Mango's National Provider Identifier (NPI) is 1104538578, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Marisa Mango's specialty?
- Marisa Mango is listed in the NPPES registry with a primary specialty of Counseling Psychologist (Behavioral Health & Social Service Providers).
- Where is Marisa Mango located?
- Marisa Mango's practice location on file with NPPES is 13000 Bruce B Downs Blvd, Tampa, FL 33612-4745.
- What is Marisa Mango's phone number?
- The practice phone number listed in the NPPES registry for Marisa Mango is (813) 972-2000.
- Is Marisa Mango's NPI active?
- Yes — Marisa Mango's NPI (1104538578) is active in the NPPES registry as of the last update on 2022-12-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.