Lashaundra Dianne Bagmon McIver

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

IMT3565 Issued in FL

Practice address

8540 Baycenter Rd
Jacksonville, FL 32256-7420

Phone

(904) 448-1933

NPI assigned

Jun 3, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Jewish Family and Community Services

  • Mental Health Counselor
  • Jacksonville, FL
  • NPI 1861264418
  NPD
• The LJD Jewish Family & Community Services, Inc

  • Community/Behavioral Health Agency
  • Jacksonville, FL
  • NPI 1538255088
  NPD

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

{
    "created_epoch": "1654214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654214400000",
    "number": "1679212906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8540 BAYCENTER RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322567420",
            "telephone_number": "904-448-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8540 BAYCENTER RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322567420",
            "telephone_number": "904-448-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGMON MCIVER",
        "first_name": "LASHAUNDRA",
        "middle_name": "DIANNE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-03",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "IMT3565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "JFCSJAX.ORG",
            "affiliation": "N",
            "address_1": "8540 Baycenter Rd",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322567420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Saaniya Aasif Bagdadi, DO
• Douglas Stewart Bagg III
• Jason J Baggett, DO
• Thomas Howard Baggett, RPH
• Michael Joseph Baglino, D.O.
• Bagnoli and Salah Partnership
• Stephen Bagnoli, M.D.
• Priscila Bagunu
• Kayla Bagwell, MD
• Valerie Baham

• Marriage & Family Therapist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Marriage & Family Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; 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.