Sinadia Ellise Gailyard, IMH

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH15950 Issued in FL

Practice address

11474 Willet CT S
Jacksonville, FL 32225-2545

Phone

(904) 742-6715

NPI assigned

Aug 17, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Healing Bar

  • Mental Health Counselor
  • Jacksonville, FL
  • NPI 1689279721
  NPD Authorized official

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

{
    "created_epoch": "1471392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1942755228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11474 WILLET CT S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322252545",
            "telephone_number": "904-742-6715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11474 WILLET CT S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322252545",
            "telephone_number": "904-742-6715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAILYARD",
        "first_name": "SINADIA",
        "middle_name": "ELLISE",
        "credential": "IMH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-17",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "FL",
            "license": "IMH 14386",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH15950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Nicole Gage, DO
• Kenneth Leslie Gage, M.D., PH.D.
• Priscila C Gagliardi, MD
• Jennifer Mary Gagnon, PT
• Philip Porcher Gaillard III, MD
• Angela Gaines
• Jaiana Gaines
• Julie Gaines
• Mary Sharon Gaines, LCSW
• Gainesville Vamc

• 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 Dec 4, 2020; 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.