Organization Active NPI

Complete Counseling Group, Inc.

  • Clinical Social Worker
  • Fort Lauderdale, FL
National Provider Identifier
1710009873
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
COMPLETE COUNSELING GROUP, INC.
Practice address
6750 N Andrews Ave Ste 200
Fort Lauderdale, FL 33309-2180
Phone
(954) 732-5418
Fax
(954) 772-1023
NPI assigned
Apr 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Authorized official

Name
Debra J Tantillo, LCSWNPI 1376822981
Title
Owner / Provider
Phone
(954) 732-5418

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X SW5538 FL
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

6750 N Andrews Ave Ste 200
Fort Lauderdale, FL 33309-2180

Mailing address

333 NW 46TH St
Fort Lauderdale, FL 33309-4010
Phone (954) 732-5418

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110728000358 FL Part B Supplier - Clinic/Group Practice 9537337027 Receives reassigned benefits from 1 practitioner
Practice locations: Oakland Park, FL

National Provider Directory

National Provider Directory

Locations

2740 E Oakland Park Blvd
Ste 301
Fort Lauderdale, FL 33306
Phone (954) 236-6676

3471 N Federal Hwy
Ste 205
Ft Lauderdale, FL 33306
Phone (954) 236-6676

1919 NE 45th St
Ste 225
Ft Lauderdale, FL 33308
Phone (305) 519-9565

1876 N University Dr
Ste 308
Plantation, FL 33322

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782172800000",
    "number": "1710009873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 NW 46TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333094010",
            "telephone_number": "954-732-5418",
            "fax_number": "954-772-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6750 N ANDREWS AVE STE 200",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333092180",
            "telephone_number": "954-732-5418",
            "fax_number": "954-772-1023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE COUNSELING GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A",
        "authorized_official_last_name": "TANTILLO",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER / PROVIDER",
        "authorized_official_telephone_number": "954-732-5418",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "FL",
            "license": "SW5538",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.