Organization Active NPI

Cerebrum Innovations LLC

  • Community/Behavioral Health Agency
  • Tallahassee, FL
National Provider Identifier
1801765680
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CEREBRUM INNOVATIONS LLC
Practice address
2474 Rumba CT Apt 3
Tallahassee, FL 32304-1521
Phone
(352) 810-9365
Fax
(352) 450-3091
NPI assigned
Oct 31, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2025

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

Authorized official

Name
Ms. Kendra Talley, LMHCNPI 1386366870
Title
Owner
Phone
(352) 810-9365

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2474 Rumba CT Apt 3
Tallahassee, FL 32304-1521

Mailing address

5005 W Laurel St Ste 100-2015
Tampa, FL 33607-3886
Phone (352) 810-9365

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260210004308 FL Part B Supplier - Clinic/Group Practice 0345729224 Receives reassigned benefits from 1 practitioner
Practice locations: Tallahassee, FL

National Provider Directory

National Provider Directory

Locations

5005 W Laurel St
Ste 1002015
Tampa, FL 33607

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": "1761868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761868800000",
    "number": "1801765680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5005 W LAUREL ST STE 100-2015",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336073886",
            "telephone_number": "352-810-9365",
            "fax_number": "352-450-3091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2474 RUMBA CT APT 3",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323041521",
            "telephone_number": "352-810-9365",
            "fax_number": "352-450-3091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEREBRUM INNOVATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-31",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A",
        "authorized_official_last_name": "TALLEY",
        "authorized_official_first_name": "KENDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-810-9365",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2025; 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.