MS. REBECCA JAGGERNAUTH LCSW
NPI 1124391313
Counselor - Mental Health in Fort Lauderdale, FL
About Ms. Rebecca Jaggernauth Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. REBECCA JAGGERNAUTH LCSW (NPI 1124391313) is an individual mental health provider in Fort Lauderdale, Florida, licensed in Florida (SW15489) and active in the NPI registry since February 2012. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Rebecca Jaggernauth Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Rebecca Jaggernauth reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
North Miami Beach, FL 33162
- Reassigned Medicare billing, Florida enrollment
- 148 clinicians in this Medicare group
North Miami Beach, FL 33162
- Reassigned Medicare billing, Florida enrollment
- 148 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Rebecca Jaggernauth's NPI number?
The NPI number for Rebecca Jaggernauth is 1124391313. It was assigned to this individual provider in the NPPES registry on February 17, 2012.
Where is Rebecca Jaggernauth located?
Rebecca Jaggernauth practices at 325 SW 28th St, Fort Lauderdale, FL 33315. The listed phone number is (954) 357-4848.
What is Rebecca Jaggernauth's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Rebecca Jaggernauth enrolled in Medicare?
Yes. Rebecca Jaggernauth is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Rebecca Jaggernauth's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rebecca Jaggernauth reassigns Medicare benefits to 2 organizations: Mtca Psychological Services P.A. (North Miami Beach, FL) and Senior Living Memory Health, Inc. (North Miami Beach, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rebecca Jaggernauth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Rebecca Jaggernauth was last updated on September 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Ms. Rebecca Jaggernauth, LCSW · NPI 1124391313
Mental Health provider in Fort Lauderdale, Florida. Individual provider, active in the CMS NPPES registry since February 17, 2012.
## Identity
- **NPI:** 1124391313 (Entity type: Individual)
- **Enumerated:** February 17, 2012
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** SW15489 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 325 SW 28TH ST, Fort Lauderdale, FL 33315-2612
- **Phone:** (954) 357-4848
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Mtca Psychological Services P.A. (NPI 1740552322, North Miami Beach, FL); Senior Living Memory Health, Inc. (NPI 1851847834, North Miami Beach, FL) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 20, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1124391313) · Data from the CMS NPPES public registry.