Raja Bashiti, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH18262 Issued in FL

Practice address

11363 San Jose Blvd Ste 100
Jacksonville, FL 32223-7958

Phone

(888) 793-2304

Fax

(888) 793-2304

NPI assigned

Aug 10, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

First Coast Psychiatric Services, P.a.Group PAC ID 9133441421, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles (1 of 12)

Locations

Networks

• devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
• devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
• devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
• FL HMO C-SNP
• AL HMO D-SNP
• FL HMO D-SNP
• FL HMO
• devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
• AL HMO
• devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
• FL PPO

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.

• First Coast Psychiatric Services, P.a.

  • Psychiatry Physician
  • Orange Park, FL
  • NPI 1104222801
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1597017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597017600000",
    "number": "1003427550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11363 SAN JOSE BLVD STE 100",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322237958",
            "telephone_number": "888-793-2304",
            "fax_number": "888-793-2304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11363 SAN JOSE BLVD STE 100",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322237958",
            "telephone_number": "888-793-2304",
            "fax_number": "888-793-2304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASHITI",
        "first_name": "RAJA",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-10",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH18262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie Jane Basco, D.D.S.
• Angella D Bascom, A.R.N.P.
• Nichole Bashara, RBT19-80867
• Riyaz Bashir, M.D.
• Saeed Bashir, MD
• Kathleen Bashore
• Joseph Basi II, MD
• Rabia Basri
• Beverly Bass, OTD, OTR/L, CHT, CLT
• Samantha Bass, LMT

• Mental Health Counselor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.