Individual provider Active NPI

Frances Nicole Davidson-Harshaw, LMHC

  • Mental Health Counselor
  • Jacksonville, FL
National Provider Identifier
1851941231
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH22661 Issued in FL
Practice address
8540 Baycenter Rd
Jacksonville, FL 32256-7420
Phone
(904) 394-5710
NPI assigned
Sep 17, 2019
Last updated
Nov 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH22661 FL Primary
Marriage & Family Therapist 106H00000X PMT310 FL

Addresses

Primary practice location

8540 Baycenter Rd
Jacksonville, FL 32256-7420

Mailing address

8540 Baycenter Rd
Jacksonville, FL 32256-7420

Other practice location 1

463380 State Road 200 Unit B
Yulee, FL 32097-3240
Phone (904) 432-0400

Other identifiers 1

IdentifierTypeStateIssuer
115319200MedicaidFL

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241220000843 FL Practitioner - Mental Health Counselor 5597292193 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH22661FLMDMental Health Counselor
PMT310FLMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The LJD Jewish Family & Community Services, Inc Mental Health CurrentSince Sep 25, 2019 Accepting new patients
Physicians Group Services PA CurrentSince Nov 1, 2024 Accepting new patients
Jewish Family and Community Services Mental Health CurrentSince Oct 29, 2023 Accepting new patients
Physicians Group Services PA CurrentSince Nov 1, 2024 Accepting new patients

Locations

1906 Southside Blvd
Jacksonville, FL 32216
Phone (904) 724-3083

8540 Baycenter Rd
Jacksonville, FL 32256
Phone (904) 394-5703

463380 State Road 200
Unit B
Yulee, FL 32097
Phone (904) 468-3080

463386 State Road 200
Unit A
Yulee, FL 32097
Phone (904) 406-3888

Organizations & group practices 4

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": "1568678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1851941231",
    "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"
        },
        {
            "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": "904-394-5710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "463380 State Road 200 Unit B",
            "address_purpose": "LOCATION",
            "city": "Yulee",
            "state": "FL",
            "postal_code": "320973240",
            "country_code": "US",
            "telephone_number": "904-432-0400",
            "fax_number": "904-432-0401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIDSON-HARSHAW",
        "first_name": "FRANCES",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-17",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH22661",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "PMT310",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115319200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.