Dr Jamicia Harley, EDD is a medicare enrolled "Case Manager/care Coordinator" provider in Jacksonville, Florida. She graduated from healthcare school in 2014 and has 12 years of diverse experience with area of expertise as Mental Health Counselor. Her current practice location is
3119 Spring Glen Rd Ste 115, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at
(904) 660-8835.
Dr Jamicia Harley is licensed to practice in Florida (license number CBHCMS.0100869) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1871933887.
Healthcare Provider's Profile
| Full Name | Dr Jamicia Harley |
|---|
| Gender | Female |
|---|
| Speciality | Mental Health Counselor |
|---|
| Experience | 12 Years |
|---|
| Location | 3119 Spring Glen Rd Ste 115, Jacksonville, Florida |
|---|
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Dr Jamicia Harley graduated from medical school in 2014
NPI Data:
- NPI Number: 1871933887
- Provider Enumeration Date: 07/05/2013
- Last Update Date: 11/07/2025
Medicare PECOS Information:
- PECOS PAC ID: 4880166750
- Enrollment ID: I20260611004198
Medical Identifiers
Medical identifiers for Dr Jamicia Harley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1871933887 | NPI | - | NPPES |
| 015704500 | Medicaid | FL | |
| 128817800 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | MH26400 (Florida) | Secondary |
| 106H00000X | Marriage & Family Therapist | (Florida) | Secondary |
| 106H00000X | Marriage & Family Therapist | (NU) | Secondary |
| 171M00000X | Case Manager/care Coordinator | CBHCMS.0100869 (Florida) | Primary |
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. Dr Jamicia Harley allows following entities to bill medicare on her behalf.
| Entity Name | Cotler Healthcare & Development Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1225075047
PECOS PAC ID: 0143121145
Enrollment ID: O20040114000075 |
|---|
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. Dr Jamicia Harley 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 |
|---|
Dr Jamicia Harley, EDD
550 Balmoral Cir N Ste 209,
Jacksonville, FL 32218-5577
Ph: (904) 660-8835 | Dr Jamicia Harley, EDD
3119 Spring Glen Rd Ste 115,
Jacksonville, FL 32207-5921
Ph: (904) 660-8835 |
Reviews and Comments