JAYTAVIA BROADNAX
NPI 1255937884
Counselor - Mental Health in Palm Harbor, FL

Active since December 09, 2020PECOS EnrolledAccepts Medicare Assignment
2311 ALT 19, PALM HARBOR, FL 34683(630) 200-4823 Get Directions Write a Review

NPPES record last updated: December 9, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jaytavia Broadnax NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAYTAVIA BROADNAX (NPI 1255937884) is an individual mental health provider in Palm Harbor, Florida and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1255937884
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJAYTAVIA BROADNAX
Location Address2311 ALT 19Palm Harbor, FL 34683-2631
Mailing Address10044 Palermo Cir Apt 203Tampa, FL 33619-5073 · (630) 200-4823
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateDecember 9, 2020
NPPES CertifiedDecember 9, 2020
NPI 1255937884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2311 ALT 19, Palm Harbor, FL 34683

Other Identifiers 1

Medicaid1306862511FL

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jaytavia Broadnax is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6800314303
PECOS Enrollment IDI20250519002043
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
2311 ALT 19
PALM HARBOR, FL 34683
Social Worker (Clinical)
2311 ALT 19, SUITE 1
PALM HARBOR, FL 34683
Social Worker (Clinical)
2311 ALT 19, SUITE # 1
PALM HARBOR, FL 34683
Nurse Practitioner
2311 ALT 19, STE 5
PALM HARBOR, FL 34683
Case Manager/Care Coordinator
2311 ALT 19
PALM HARBOR, FL 34683
Social Worker (Clinical)
2311 ALT 19, SUITE 1
PALM HARBOR, FL 34683

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jaytavia Broadnax's NPI number?

The NPI number for Jaytavia Broadnax is 1255937884. It was assigned to this individual provider in the NPPES registry on December 9, 2020.

Where is Jaytavia Broadnax located?

Jaytavia Broadnax practices at 2311 Alt 19, Palm Harbor, FL 34683. The listed phone number is (630) 200-4823.

What is Jaytavia Broadnax's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Jaytavia Broadnax enrolled in Medicare?

Yes. Jaytavia Broadnax is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jaytavia Broadnax accept?

Health plans from Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Jaytavia Broadnax as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jaytavia Broadnax was last updated on December 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.