Davida Lewis

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

IMH24189 Issued in FL

Practice address

1257 Edgewood Ave W
Jacksonville, FL 32208-2741

Phone

(904) 745-0067

Fax

(904) 586-2550

NPI assigned

Jun 30, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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.

• Sun-Rise Living Behavior Health Services, LLC

  • Cognitive & Behavioral Psychologist
  • Jacksonville, FL
  • NPI 1073910931

  Mental Health

  NPD

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

{
    "created_epoch": "1751241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1881583516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4729 SADDLEHORN TRL",
            "city": "MIDDLEBURG",
            "state": "FL",
            "postal_code": "320682213",
            "telephone_number": "904-735-6329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1257 EDGEWOOD AVE W",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322082741",
            "telephone_number": "904-745-0067",
            "fax_number": "904-586-2550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "DAVIDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-30",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH24189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avie Moore Lewis
• Casey Lewis
• Christina Nicole Lewis
• Courtney Lewis, CPT
• Daniel Lewis, MD
• Debra Jones Lewis, M. A. COUNSELING ED
• Deidra Lewis, LCSW
• Ericka Latoya Lewis
• Gregory Lewis, MD
• Haley Lewis, PHARMD

• Mental Health Counselor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; 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.