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ASHMAINE AMELIA BANGARU LMHC
NPI 1992419758
Counselor - Mental Health in Tavares, FL

Active since January 06, 2023PECOS Enrolled
1765 DAVID WALKER DR, TAVARES, FL 32778(407) 821-3547(407) 821-3548 Get Directions Write a Review

NPPES record last updated: April 30, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 30, 2026, Jan 6, 2023 (2 updates tracked since 2023).

About Ashmaine Amelia Bangaru Lmhc NPPES

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

ASHMAINE AMELIA BANGARU LMHC (NPI 1992419758) is an individual mental health provider in Tavares, Florida, licensed in Florida (MH27470) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Winter Park, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1992419758
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameASHMAINE AMELIA BANGARUCredential: LMHC
Location Address1765 DAVID WALKER DRTavares, FL 32778-5745
Mailing Address1765 David Walker DrTavares, FL 32778-5745 · (407) 821-3547 · Fax (407) 821-3548
Phone(407) 821-3547
Fax(407) 821-3548
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateJanuary 6, 2023
Last NPPES UpdateApril 30, 20262 updates tracked since enumeration
NPPES CertifiedApril 30, 2026
✔ NPI 1992419758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in FL · MH27470
1765 DAVID WALKER DR, Tavares, FL 32778
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Secondary Practice Location 1

Location 13550 N Goldenrod RdWinter Park, FL 32792-8823 · Phone (407) 489-3917 · Fax (866) 936-0475

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida 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)

Ashmaine Amelia Bangaru Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4082185350
PECOS Enrollment IDI20260608002178
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 Reassignment

Medicare enrollment records show Ashmaine Bangaru reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Florida Hospital Medical Group Inc
28 mi
Family Medicine
1115 E RIDGEWOOD ST
Orlando, FL 32803
  • Reassigned Medicare billing, Florida enrollment
  • 3,005 clinicians in this Medicare group
NPI 1225034234 (407) 841-1100

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

Other Providers at the Same Location NPPES 5

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

DR. DENIS MANUEL DIAZ M.D.
Pediatrics
1765 DAVID WALKER DR
TAVARES, FL 32778
Lake County (352) 343-3330
DR. CHRISTOPHER MICHAEL ANDERSON M.D.
Surgery (Pediatric Surgery)
1765 DAVID WALKER DR
TAVARES, FL 32778
Lake County (407) 303-7280
MRS. BRITTANY NICHOLS SIMPSON APRN
Nurse Practitioner (Pediatrics)
1765 DAVID WALKER DR
TAVARES, FL 32778
Lake County (352) 343-3330
KRISTY MICHELLE BERON APRN
Nurse Practitioner (Pediatrics)
1765 DAVID WALKER DR
TAVARES, FL 32778
Lake County (352) 343-3330
MRS. AMANDA LYNN HAIR APRN
Nurse Practitioner (Pediatrics)
1765 DAVID WALKER DR
TAVARES, FL 32778
Lake County (352) 343-3330

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 Ashmaine Bangaru's NPI number?

The NPI number for Ashmaine Bangaru is 1992419758. It was assigned to this individual provider in the NPPES registry on January 6, 2023.

Where is Ashmaine Bangaru located?

Ashmaine Bangaru practices at 1765 David Walker Dr, Tavares, FL 32778. The listed phone number is (407) 821-3547.

What is Ashmaine Bangaru's specialty?

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

Is Ashmaine Bangaru enrolled in Medicare?

Yes. Ashmaine Bangaru is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ashmaine Bangaru's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ashmaine Bangaru reassigns Medicare benefits to Florida Hospital Medical Group Inc (Orlando, FL). The 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 Ashmaine Bangaru's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ashmaine Bangaru accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Ashmaine Bangaru 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 Ashmaine Bangaru was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.