Individual provider Active NPI

Paola Maria Espaillat

  • Mental Health Counselor
  • Coral Springs, FL
National Provider Identifier
1396408803
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH21804 Issued in FL
Practice address
7501 Wiles Rd Ste 105
Coral Springs, FL 33067-2063
Phone
(954) 346-8300
NPI assigned
Oct 21, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IMH20182 FL
Mental Health Counselor 101YM0800X MH21804 FL Primary

Addresses

Primary practice location

7501 Wiles Rd Ste 105
Coral Springs, FL 33067-2063

Mailing address

7501 Wiles Rd Ste 105
Coral Springs, FL 33067-2063

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL pespaillat@regahealth.com

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
I20240322001332 FL Practitioner - Mental Health Counselor 6305994328 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Nova Southeastern College of Osteo Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rega Mental Health Center, LLCGroup PAC ID 7517014947, 5 clinicians

Practice addresses (Care Compare)

7501 Wiles Rd
Suite 105
Coral Springs, FL 33067-2063
Phone (954) 346-8300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
IMH20182FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rega Mental Health Center, LLC CurrentSince Feb 17, 2024 Accepting new patients

Locations

7501 Wiles Rd
Ste 105202
Coral Springs, FL 33067

7501 Wiles Rd
Ste 105
Coral Springs, FL 33067
Phone (954) 341-1022

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": "1634774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1396408803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7501 WILES RD STE 105",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330672063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7501 WILES RD STE 105",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330672063",
            "telephone_number": "954-346-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPAILLAT",
        "first_name": "PAOLA",
        "middle_name": "MARIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-21",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH20182",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH21804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "pespaillat@regahealth.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "7501 Wiles Rd Ste 105",
            "city": "Coral Springs",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330672063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.