Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andrew Wallin, LMHC

Individual provider Mental Health Counselor · NPI 1134624596

Andrew Wallin, LMHC is a Mental Health Counselor in Jacksonville, Florida. Qualified in 2020, 6 years ago. Practices as a sole proprietor. Licensed in Florida.

Years since qualifying
6
Licensed in
FL
In the registry since
2018
What do these letters mean?
LMHC — Licensed Mental Health Counselor
A licensed mental health counsellor; the title used in Florida, New York and Washington among others.

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Practice location Address checks out

3890 Dunn Ave
Jacksonville, FL 32218-6428
Phone: (904) 765-0665
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence MH25200 (FL)

Record details

NPI number1134624596
Entity typeIndividual (Type 1)
GenderMale
Credentials LMHC
Sole proprietorYes
NPI enumeratedMarch 28, 2018
Last updated in NPPESMarch 25, 2026
Certification dateMarch 25, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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