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

Angelica Witherspoon

Individual provider Mental Health Counselor · NPI 1215612718

Angelica Witherspoon is a Mental Health Counselor in Jacksonville, Florida. Qualified in 2023, 3 years ago. Practices with Baptist Behavioral Health LLC, a 121-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
3
Licensed in
FL
In the registry since
2023
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Practice location Address checks out

820 Prudential Dr Ste 510
Jacksonville, FL 32207-8207
Phone: (904) 376-3800
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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 MH26767 (FL)

Record details

NPI number1215612718
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 21, 2023
Last updated in NPPESOctober 30, 2025
Certification dateOctober 30, 2025

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Baptist Behavioral Health Llc — 121 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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