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

Individual provider Mental Health Counselor · NPI 1538676630

Stephanie N Waggoner, LMHC is a Mental Health Counselor in Jacksonville, Florida. Qualified in 2017, 9 years ago. Practices with Greener Side Counseling, LLC, a 5-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
9
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

9957 Moorings Dr Ste 302
Jacksonville, FL 32257-2415
Phone: (888) 793-2304
Fax: (888) 793-2304
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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 MH20071 (FL)

Record details

NPI number1538676630
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMHC
Sole proprietorYes
NPI enumeratedJanuary 10, 2018
Last updated in NPPESFebruary 3, 2022
Certification dateFebruary 3, 2022

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Greener Side Counseling, Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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