Active NPI
Amesha Synora Carswell, CAP
- Addiction (Substance Use Disorder) Counselor
- Orange Park, FL
National Provider Identifier
1770079154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 163065
- Practice address
- 1459 Bitterberry Dr
Orange Park, FL 32065-5245 - Phone
- (440) 265-8146
- NPI assigned
- Jul 9, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CAP0100429 | FL | |
| Mental Health Counselor | 101YM0800X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 163065 | OH | Primary |
Addresses
Primary practice location
1459 Bitterberry Dr
Orange Park, FL 32065-5245
Mailing address
1459 Bitterberry Dr
Orange Park, FL 32065-5245
Phone (440) 265-8146
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CAP0100429 | FL | MD | Addiction (Substance Use Disorder) Counselor |
| 163065 | OH | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Xtra Helping Hands and Hearts LLC | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Developmentally Disabled Services Day Training Agency
- Orange Park, FL
- NPI 1871256818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683504000000",
"number": "1770079154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1459 BITTERBERRY DR",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320655245",
"telephone_number": "440-265-8146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1459 BITTERBERRY DR",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320655245",
"telephone_number": "440-265-8146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARSWELL",
"first_name": "AMESHA",
"middle_name": "SYNORA",
"name_prefix": "Mrs.",
"credential": "CAP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-09",
"last_updated": "2023-05-08",
"certification_date": "2023-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "FL",
"license": "CAP0100429",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "163065",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orange Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.