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

Jon Waller, LMHC

Individual provider Counselor · NPI 1790331270

Jon Waller, LMHC is a Counselor in Tamarac, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2019
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

4800 W Commercial Blvd
Tamarac, FL 33319-2879
Phone: (954) 300-3244
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence MH12508 (FL)

Record details

NPI number1790331270
Entity typeIndividual (Type 1)
GenderMale
Credentials LMHC
Sole proprietorYes
NPI enumeratedAugust 12, 2019
Last updated in NPPESAugust 12, 2019
Mailing address925 Intracoastal Dr Apt 8, Fort Lauderdale, FL 33304-3688

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