Individual provider Active NPI

Marylou Ugo

  • Mental Health Counselor
  • Sarasota, FL
National Provider Identifier
1912253147
Registry record updated Jul 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1565 State St
Sarasota, FL 34236-5808
Phone
(941) 972-8900
NPI assigned
Jul 25, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

1565 State St
Sarasota, FL 34236-5808

Mailing address

1565 State St
Sarasota, FL 34236-5808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231128002086 FL Practitioner - Mental Health Counselor 8426406661 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dna Comprehensive Therapy Services LLCGroup PAC ID 2860619632, 446 clinicians

Practice addresses (Care Compare)

1602 Oakfield Dr
Suite 205
Brandon, FL 33511-0827
Phone (813) 655-6367

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dna Comprehensive Therapy Services, LLC Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Bonita Springs Retirement Village, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Coastal Behavioral Healthcare, Inc. Past Accepting new patients

Locations

5325 E State Road 64
Ste B
Bradenton, FL 34208
Phone (813) 970-3402

1602 Oakfield Dr
Ste 205
Brandon, FL 33511
Phone (813) 655-6367

4310 Metro Pkwy
Ste 205
Fort Myers, FL 33916

1777 Tamiami Trl
Ste 201
Port Charlotte, FL 33948
Phone (941) 249-4354

3191 Harbor Blvd
Ste B
Port Charlotte, FL 33952
Phone (941) 624-2141

3191 Harbor Blvd
Ste A
Pt Charlotte, FL 33952
Phone (941) 766-9555

2401 University Pkwy
Ste 104
Sarasota, FL 34243
Phone (941) 358-6777

8026 S Tamiami Trl
Ste 103
Venice, FL 34293
Phone (941) 441-9232

425 Commercial Ct
Ste C
Venice, FL 34292
Phone (941) 244-4377

5825 Argerian Dr
Ste 101
Wesley Chapel, FL 33545
Phone (813) 687-4870

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1343174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343174400000",
    "number": "1912253147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1565 STATE ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342365808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1565 STATE ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342365808",
            "telephone_number": "941-972-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UGO",
        "first_name": "MARYLOU",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-25",
        "last_updated": "2012-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.