TATYANA LI LUGO-GARDNER
NPI 1720767288
Counselor - Mental Health in Fitchburg, MA

Active since July 12, 2023PECOS Enrolled
326 NICHOLS RD, FITCHBURG, MA 01420(978) 878-8100 Get Directions Write a Review

NPPES record last updated: July 12, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tatyana Li Lugo-gardner NPPES

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

TATYANA LI LUGO-GARDNER (NPI 1720767288) is an individual mental health provider in Fitchburg, Massachusetts and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1720767288
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTATYANA LI LUGO-GARDNER
Location Address326 NICHOLS RDFitchburg, MA 01420-1914
Mailing Address57 Blood RdCharlton, MA 01507-5129
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 12, 2023
NPPES CertifiedJuly 12, 2023
NPI 1720767288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedArt TherapistTaxonomy 221700000X
326 NICHOLS RD, Fitchburg, MA 01420

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Tatyana Li Lugo-gardner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID244724912
PECOS Enrollment IDI20251210001742
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.

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.

Anesthesiology
326 NICHOLS RD, SUITE 16
FITCHBURG, MA 01420
Psychologist (Clinical)
326 NICHOLS RD
FITCHBURG, MA 01420
Anesthesiology
326 NICHOLS RD, SUITE 16
FITCHBURG, MA 01420
Anesthesiology
326 NICHOLS RD, SUITE 16
FITCHBURG, MA 01420
Counselor (Mental Health)
326 NICHOLS RD
FITCHBURG, MA 01420
Registered Nurse (Community Health)
326 NICHOLS RD
FITCHBURG, MA 01420
Student in an Organized Health Care Education/Training Program
326 NICHOLS RD
FITCHBURG, MA 01420
Student in an Organized Health Care Education/Training Program
326 NICHOLS RD
FITCHBURG, MA 01420

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 Tatyana Lugo-gardner's NPI number?

The NPI number for Tatyana Lugo-gardner is 1720767288. It was assigned to this individual provider in the NPPES registry on July 12, 2023.

Where is Tatyana Lugo-gardner located?

Tatyana Lugo-gardner practices at 326 Nichols Rd, Fitchburg, MA 01420. The listed phone number is (978) 878-8100.

What is Tatyana Lugo-gardner's specialty?

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

Is Tatyana Lugo-gardner enrolled in Medicare?

Yes. Tatyana Lugo-gardner is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tatyana Lugo-gardner was last updated on July 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.