Anixa Elena Carmona, MACP

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

MH11778 Issued in FL

Practice address

820 Prudential Dr
Suite 510
Jacksonville, FL 32207-8210

Phone

(904) 376-3800

Fax

(904) 396-8966

NPI assigned

Apr 16, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Anixa Elena Davila Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Baptist Behavioral Health, LLC

  • Professional Counselor
  • Jacksonville, FL
  • NPI 1215906649
  NPD (past)

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

{
    "created_epoch": "1366070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482969600000",
    "number": "1174966535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 44230",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322314230",
            "telephone_number": "904-376-3800",
            "fax_number": "904-376-3998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 PRUDENTIAL DR",
            "address_2": "SUITE 510",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078210",
            "telephone_number": "904-376-3800",
            "fax_number": "904-396-8966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARMONA",
        "first_name": "ANIXA",
        "middle_name": "ELENA",
        "credential": "MACP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-16",
        "last_updated": "2016-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "MH11778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANIXA",
            "last_name": "DAVILA",
            "middle_name": "ELENA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Carmencita O Ong MD PA
• Marie Eloise Carmical, M.ED, BCBA
• Ashley Nicole Carmichael
• Adelaide Carmola
• Stephanie Victoria Carmon, ARNP
• Amelia Carmosino
• Eugenie Carnegie
• Philip Adrian Carnevale, M.D.
• Philip Austin Carnevale, MSN, APRN, FNP-C
• Christina Gindele Caro, M.D.

• Professional Counselor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Professional Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.