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

Jeffrey G Waddick Jr., LMHC

Individual provider Mental Health Counselor · NPI 1720861776

Jeffrey G Waddick Jr., LMHC is a Mental Health Counselor in Deland, Florida. Qualified in 2023, 3 years ago. Practices as a sole proprietor. Licensed in Florida.

Years since qualifying
3
Licensed in
FL
In the registry since
2023
Specialties on file
2
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

201 W Plymouth Ave
Deland, FL 32720-2753
Phone: (386) 873-2963
Fax: (386) 873-2786
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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
Mental Health Counselor Taxonomy 101YM0800X · Licence MH26286 (FL)

Record details

NPI number1720861776
Entity typeIndividual (Type 1)
GenderMale
Credentials LMHC
Sole proprietorYes
NPI enumeratedAugust 15, 2023
Last updated in NPPESAugust 19, 2025
Certification dateAugust 19, 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)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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