Jaytavia Broadnax, in Palm Harbor, FL - Medicare Mental Health Counselor Provider

Jaytavia Broadnax, is a medicare enrolled "Counselor - Mental Health" provider in Palm Harbor, Florida. She graduated from healthcare school in 2025 and has 1 years of diverse experience with area of expertise as Mental Health Counselor. She is a member of the group practice Brave Health Inc. and her current practice location is 2311 Alt 19, Palm Harbor, Florida. You can reach out to her office (for appointments etc.) via phone at (630) 200-4823.

Jaytavia Broadnax is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1255937884.

Contact Information

	Jaytavia Broadnax,
	2311 Alt 19, Palm Harbor, FL 34683-2631
	(630) 200-4823
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jaytavia Broadnax
Gender	Female
Speciality	Mental Health Counselor
Experience	1 Years
Location	2311 Alt 19, Palm Harbor, Florida
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jaytavia Broadnax graduated from medical school in 2025

NPI Data:

NPI Number: 1255937884
Provider Enumeration Date: 12/09/2020
Last Update Date: 12/09/2020

Medicare PECOS Information:

PECOS PAC ID: 6800314303
Enrollment ID: I20250519002043

Medical Identifiers

Medical identifiers for Jaytavia Broadnax such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255937884	NPI	-	NPPES
1306862511	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Brave Health Inc.	8123458981	77

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jaytavia Broadnax allows following entities to bill medicare on her behalf.

Entity Name	Brave Health Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821588674 PECOS PAC ID: 8123458981 Enrollment ID: O20200417001688

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jaytavia Broadnax is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jaytavia Broadnax, 10044 Palermo Cir Apt 203, Tampa, FL 33619-5073 Ph: (630) 200-4823	Jaytavia Broadnax, 2311 Alt 19, Palm Harbor, FL 34683-2631 Ph: (630) 200-4823

Reviews and Comments

Counselor in Palm Harbor, FL

Tami J Skifstad, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 31640 Us Highway 19 N Ste 2, Palm Harbor, FL 34684 Phone: 727-222-3595
Ms. Brenda Faye Vellance, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2843 Alternate 19, Palm Harbor, FL 34683 Phone: 727-772-0038 Fax: 727-787-2384
Ms. Jill Andrea Freeman, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2708 Alt 19 Ste 507-12, Palm Harbor, FL 34683 Phone: 727-286-0740 Fax: 727-279-4644
Sherly Rainey, LMHC Counselor Medicare: May Accept Medicare Assignments Practice Location: 34650 Us Highway 19 N Ste 206, Palm Harbor, FL 34684 Phone: 833-769-3524
Emily Vista-ann Mcquaid, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3450 E Lake Rd Ste 307, Palm Harbor, FL 34685 Phone: 727-238-5821
Hailey Brianna Macnealy, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2311 Alt 19 Ste 6, Palm Harbor, FL 34683 Phone: 727-343-3662
Sandra Ivette Rocafort, LMHC Counselor Medicare: May Accept Medicare Assignments Practice Location: 3607 Alt 19, Palm Harbor, FL 34683 Phone: 172-773-2430

Jaytavia Broadnax, - Medicare Counselor in Palm Harbor, FL