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

Elizabeth Summer Wigle

Individual provider Mental Health Counselor · NPI 1376013680

Elizabeth Summer Wigle is a Mental Health Counselor in South Daytona, Florida. Qualified in 2018, 8 years ago. Practices with Balanced Wellbeing LLC, a 231-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
8
Licensed in
FL
In the registry since
2018

Practice location Address checks out

2400 S Ridgewood Ave Ste 32
South Daytona, FL 32119-3073
Phone: (347) 362-9548
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 725 N 12th Ave Bldg B, Arcadia, FL 34266-8752 — (863) 494-1242

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence MH19802 (FL)

Record details

NPI number1376013680
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 29, 2018
Last updated in NPPESAugust 21, 2025
Certification dateAugust 21, 2025
Mailing address44 Bluebird Ln, Ormond Beach, FL 32174-4203

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Balanced Wellbeing Llc — 231 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in South Daytona