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MIND GYM NEUROFEEDBACK, LLC
NPI 1023825775
Counselor - Mental Health in Tampa, FL

Active since December 16, 2024
730 S STERLING AVE STE 301, TAMPA, FL 33609(720) 305-6583(720) 222-5533 Get Directions Write a Review

NPPES record last updated: December 16, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mind Gym Neurofeedback, Llc NPPES

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

MIND GYM NEUROFEEDBACK, LLC (NPI 1023825775) is a healthcare organization registered as a mental health in Tampa, Florida and active in the NPI registry since December 2024. The organization lists Leroy Matticks, Ceo, as its authorized official.

NPPES Registry Identity

NPI1023825775
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameMIND GYM NEUROFEEDBACK, LLC
Location Address730 S STERLING AVE STE 301Tampa, FL 33609-4524
Mailing Address5322 Primrose Lake Cir Ste HTampa, FL 33647-3659 · (720) 305-6583 · Fax (720) 222-5533
Phone(720) 305-6583
Fax(720) 222-5533
Organization SubpartYes
Authorized OfficialLeroy MatticksCeo · (720) 290-0154
Enumeration DateDecember 16, 2024
NPPES CertifiedDecember 16, 2024
✔ NPI 1023825775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
730 S STERLING AVE STE 301, Tampa, FL 33609
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mind Gym Neurofeedback, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Mind Gym Neurofeedback, LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Stephanie Moir, LMHC
Mental Health Counselor
NPI 1639430507
3312 W KENNEDY BLVD
Tampa, FL 33609
(813) 321-8280
✔ PECOS0.6 mi
Giovanna Treglio, LPC, LMHC
Mental Health Counselor
NPI 1518584911
522 W RIVERSIDE AVE STE N
Spokane, WA 99201
(719) 421-9020
✔ PECOS2,314 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mind Gym Neurofeedback, LLC's NPI number?

The NPI number for Mind Gym Neurofeedback, LLC is 1023825775. It was assigned to this organization in the NPPES registry on December 16, 2024.

Where is Mind Gym Neurofeedback, LLC located?

Mind Gym Neurofeedback, LLC is located at 730 S Sterling Ave Ste 301, Tampa, FL 33609. The listed phone number is (720) 305-6583.

What is Mind Gym Neurofeedback, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Mind Gym Neurofeedback, LLC enrolled in Medicare?

Yes. Mind Gym Neurofeedback, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mind Gym Neurofeedback, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Mental Health Counselor, reassign their Medicare billing to Mind Gym Neurofeedback, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mind Gym Neurofeedback, LLC was last updated on December 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.