Individual provider Active NPI

Lauren Rebecca Tagliola, MS, RMHCI

  • Mental Health Counselor
  • Hollywood, FL
National Provider Identifier
1295436632
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
20931 Issued in FL
Practice address
5555 Hollywood Blvd
Hollywood, FL 33021-6476
Phone
(954) 693-6406
NPI assigned
Mar 13, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 20931 FL Primary

Addresses

Primary practice location

5555 Hollywood Blvd
Hollywood, FL 33021-6476

Mailing address

5555 Hollywood Blvd
Hollywood, FL 33021-6476
Phone (954) 693-6406

Other practice location 1

300 SE 2nd Street Suite 600
Hollywood, FL 33021
Phone (954) 693-6406

Other names 1

  • Lauren Rebecca Tagliola Other name

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
I20251114001791 FL Practitioner - Mental Health Counselor 5698266906 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6971 N Federal Hwy
Suite 206
Boca Raton, FL 33487-1648

6971 N Federal Hwy 206
Boca Raton, FL 33487-1648

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
20931FLMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Counseling & Consulting, Inc. Mental Health CurrentSince Sep 7, 2025 Accepting new patients

Locations

6971 N Federal Hwy
Ste 206
Boca Raton, FL 33487
Phone (561) 408-1098

Organizations & group practices 1

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": "1678665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1295436632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 HOLLYWOOD BLVD",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216476",
            "telephone_number": "954-693-6406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 HOLLYWOOD BLVD",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216476",
            "telephone_number": "954-693-6406"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 SE 2nd Street Suite 600",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "33021",
            "country_code": "US",
            "telephone_number": "954-693-6406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAGLIOLA",
        "first_name": "LAUREN",
        "middle_name": "REBECCA",
        "credential": "MS, RMHCI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-13",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "20931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "TAGLIOLA",
            "middle_name": "REBECCA",
            "credential": "LAUREN DENAHAN, MS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.