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MAYRA LIZ LUGO-GONZALEZ
NPI 1255610531
Psychologist - Clinical in Tampa, FL

Active since August 04, 2011PECOS Enrolled
75/100
CMS Quality Rating
5510 N HESPERIDES ST, TAMPA, FL 33614(813) 467-6111 Get Directions Write a Review

NPPES record last updated: January 26, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 29, 2023, Nov 16, 2021 (2 updates tracked since 2021).

About Mayra Liz Lugo-gonzalez NPPES

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

MAYRA LIZ LUGO-GONZALEZ (NPI 1255610531) is an individual clinical provider in Tampa, Florida, licensed in Florida (PY11197) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS and maintains a secondary practice location in Hatillo.

NPPES Registry Identity

NPI1255610531
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameMAYRA LIZ LUGO-GONZALEZ
Location Address5510 N HESPERIDES STTampa, FL 33614-5414
Mailing Address5510 N Hesperides StTampa, FL 33614-5414 · (813) 467-6111
Phone(813) 467-6111
Sole ProprietorYes
Enumeration DateAugust 4, 2011
Last NPPES UpdateJanuary 26, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2024
✔ NPI 1255610531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in FL · PY11197
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedPsychologistTaxonomy 103T00000X · License 3900 (PR)
5510 N HESPERIDES ST, Tampa, FL 33614
Open in Google Maps ↗

Secondary Practice Location 1

Location 1Marginal Carretera #2 Km. 84.7, Bo. CarrizalesHatillo, PR 00659 · Phone (787) 310-9876

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mayra Liz Lugo-gonzalez is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Mayra Lugo-gonzalez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Thrive Behavioral Sciences Orlando LLC
74 mi
Geriatric Psychiatry
4700 MILLENIA BLVD STE 500
Orlando, FL 32839
  • Reassigned Medicare billing, Florida enrollment
  • 49 clinicians in this Medicare group
NPI 1063979730 (813) 467-6111
Mindpath Health Florida, PLLC
184 mi
Psychiatry
1725 N UNIVERSITY DR, SUITE # 350
Coral Springs, FL 33071
  • Reassigned Medicare billing, Florida enrollment
  • 84 clinicians in this Medicare group
NPI 1467467266 (954) 227-2700

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

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
920 services399 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
770 services762 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33614 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$171.84 typical visit price
range $56.00 – $171.84
Typical copayment $42.96 (range $14.00 – $42.96)
Most-billed visit code 99205
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSICA NICOLE BALOK-ANGELILLI APRN
Nurse Practitioner (Psychiatric/Mental Health)
5510 N HESPERIDES ST
TAMPA, FL 33614
Hillsborough County (813) 467-6111
DR. KARIM JANICE TORRES SANCHEZ PSYD
Psychologist (Clinical)
5510 N HESPERIDES ST
TAMPA, FL 33614
Hillsborough County (813) 467-6111
MS. SUECARLA EVANS ADAMS APRN
Nurse Practitioner (Family)
5510 N HESPERIDES ST
TAMPA, FL 33614
Hillsborough County (813) 467-6013
DEENA GANESH ARNP
Nurse Practitioner (Psychiatric/Mental Health)
5510 N HESPERIDES ST
TAMPA, FL 33614
Hillsborough County (813) 467-6111
JOLENE JOLENE DE LA GARDELLE MPA
Counselor
5510 N HESPERIDES ST
TAMPA, FL 33614
Hillsborough County (813) 467-6111
DOLORES A STEFANSKI ARNP
Nurse Practitioner (Psychiatric/Mental Health)
5510 N HESPERIDES ST
TAMPA, FL 33614
Hillsborough County (813) 467-6111
MR. GARY JAMES ALHEMOVICH NP
Nurse Practitioner (Psychiatric/Mental Health)
5510 N HESPERIDES ST
TAMPA, FL 33614
Hillsborough County (813) 467-6111
MISTI JO FOTH APRN
Nurse Practitioner (Family)
5510 N HESPERIDES ST
TAMPA, FL 33614
Hillsborough County (813) 467-6111

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 Mayra Lugo-gonzalez's NPI number?

The NPI number for Mayra Lugo-gonzalez is 1255610531. It was assigned to this individual provider in the NPPES registry on August 4, 2011.

Where is Mayra Lugo-gonzalez located?

Mayra Lugo-gonzalez practices at 5510 N Hesperides St, Tampa, FL 33614. The listed phone number is (813) 467-6111.

What is Mayra Lugo-gonzalez's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Mayra Lugo-gonzalez enrolled in Medicare?

Yes. Mayra Lugo-gonzalez is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mayra Lugo-gonzalez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mayra Lugo-gonzalez reassigns Medicare benefits to 2 organizations: Thrive Behavioral Sciences Orlando LLC (Orlando, FL) and Mindpath Health Florida, PLLC (Coral Springs, FL). Each 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 Mayra Lugo-gonzalez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mayra Lugo-gonzalez accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Mayra Lugo-gonzalez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mayra Lugo-gonzalez was last updated on January 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.