Active NPI
Jamicia Harley, ED.D
- Case Manager/Care Coordinator
- Jacksonville, FL
National Provider Identifier
1871933887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- CBHCMS.0100869
- Practice address
- 3119 Spring Glen Rd Ste 115
Jacksonville, FL 32207-5921 - Phone
- (904) 660-8835
- NPI assigned
- Jul 5, 2013
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | FL | ||
| Case Manager/Care Coordinator | 171M00000X | CBHCMS.0100869 | FL | Primary |
| Mental Health Counselor | 101YM0800X | MH26400 | FL | |
| Marriage & Family Therapist | 106H00000X |
Addresses
Primary practice location
3119 Spring Glen Rd Ste 115
Jacksonville, FL 32207-5921
Mailing address
550 Balmoral Cir N Ste 209
Jacksonville, FL 32218-5577
Phone (904) 660-8835
Other practice location 1
550 Balmoral Cir N Ste 208
Jacksonville, FL 32218-5577
Phone (904) 600-6763
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 128817800 | Medicaid | FL | |
| 015704500 | Medicaid | FL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2014
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
550 Balmoral Cir N
Suite 209
Jacksonville, FL 32218-5577
9835 Lake Worth Rd
Lake Worth, FL 33467-2300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH26400 | FL | MD | Mental Health Counselor |
| CBHCMS.0100869 | FL | MD | Case Manager/Care Coordinator |
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Wellington, FL
- NPI 1225075047
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762473600000",
"number": "1871933887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 BALMORAL CIR N STE 209",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322185577",
"telephone_number": "904-660-8835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3119 SPRING GLEN RD STE 115",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322075921",
"telephone_number": "904-660-8835"
}
],
"practiceLocations": [
{
"address_1": "550 Balmoral Cir N Ste 208",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322185577",
"country_code": "US",
"telephone_number": "904-600-6763",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARLEY",
"first_name": "JAMICIA",
"name_prefix": "Dr.",
"credential": "ED.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-05",
"last_updated": "2025-11-07",
"certification_date": "2025-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "FL",
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "FL",
"license": "CBHCMS.0100869",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH26400",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "128817800",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "015704500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.