Individual provider Active NPI

Tayler Igo, LMHC

  • Mental Health Counselor
  • Tallahassee, FL
National Provider Identifier
1598497604
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH23201 Issued in FL
Practice address
1722 Sharon Rd
Tallahassee, FL 32303-4424
Phone
(561) 260-7278
NPI assigned
Jun 28, 2022
Last updated
Jan 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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 IMH21451 FL
Mental Health Counselor 101YM0800X MH23201 FL Primary

Addresses

Primary practice location

1722 Sharon Rd
Tallahassee, FL 32303-4424

Mailing address

1722 Sharon Rd
Tallahassee, FL 32303-4424
Phone (561) 260-7278

Other practice location 1

2344 Hansen Ln Ste 1
Tallahassee, FL 32301-4884
Phone (561) 260-7278

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL igot@bebravehealth.com Direct Brave Health Medical Group PA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
IMH21451FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Tallahassee Memorial Healthcare Inc CurrentSince Apr 3, 2024 Accepting new patients
Tallahassee Memorial Healthcare Inc CurrentSince Apr 3, 2024 Accepting new patients
Tallahassee Memorial Healthcare Inc Current Accepting new patients
Brave Health Inc. CurrentSince Jan 11, 2024 Accepting new patients

Locations

1951 NW 7th Ave
Fl 3
Miami, FL 33136
Phone (305) 297-4749

1616 Physicians Dr
Tallahassee, FL 32308
Phone (850) 431-5105

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1656374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1598497604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1722 SHARON RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323034424",
            "telephone_number": "561-260-7278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1722 SHARON RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323034424",
            "telephone_number": "561-260-7278"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2344 Hansen Ln Ste 1",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323014884",
            "country_code": "US",
            "telephone_number": "561-260-7278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IGO",
        "first_name": "TAYLER",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-28",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH21451",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH23201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "igot@bebravehealth.com",
            "affiliation": "Y",
            "endpointDescription": "Work email",
            "affiliationName": "Brave Health Medical Group PA",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "1951 NW 7th Ave Fl 3",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331361112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.