Individual provider Active NPI

Cecilia Langford, APRN, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Orange Park, FL
National Provider Identifier
1366799223
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
ARNP1829892 Issued in FL
Practice address
1895 Kingsley Ave Ste 403
Orange Park, FL 32073-4453
Phone
(904) 248-8926
NPI assigned
Aug 10, 2012
Last updated
Jun 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X ARNP1829892 FL Primary

Addresses

Primary practice location

1895 Kingsley Ave Ste 403
Orange Park, FL 32073-4453

Mailing address

1895 Kingsley Ave Ste 403
Orange Park, FL 32073-4453
Phone (904) 248-8926

Other identifiers 1

IdentifierTypeStateIssuer
101925100MedicaidFL

Other names 1

  • Cecilia G Langford Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170113002411 FL Practitioner - Nurse Practitioner 5991087595 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP1829892FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
TBJ Behavioral Center LLC CurrentSince Sep 15, 2018 Accepting new patients
Wekiva Springs Center LLC CurrentSince Sep 2, 2017 Accepting new patients

Locations

3947 Salisbury Rd
Jacksonville, FL 32216
Phone (904) 296-3522

6300 Beach Blvd
Jacksonville, FL 32216
Phone (904) 724-9202

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1344556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1366799223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1895 KINGSLEY AVE STE 403",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734453",
            "telephone_number": "904-248-8926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1895 KINGSLEY AVE STE 403",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734453",
            "telephone_number": "904-248-8926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGFORD",
        "first_name": "CECILIA",
        "name_prefix": "Ms.",
        "credential": "APRN, PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-10",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "ARNP1829892",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101925100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CECILIA",
            "last_name": "LANGFORD",
            "middle_name": "G",
            "credential": "APRN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Orange Park, FL

Sources for this page

Verify at the official NPI Registry.