MR. WAYNE DOUGLAS MEDDOCK LMHC
NPI 1033126875
Counselor - Mental Health in Fort Myers, FL

Active since August 02, 2006PECOS Enrolled
6360 TECHSTER BLVD STE 1, FORT MYERS, FL 33966(239) 223-2751 Get Directions Write a Review

NPPES record last updated: January 24, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Wayne Douglas Meddock Lmhc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. WAYNE DOUGLAS MEDDOCK LMHC (NPI 1033126875) is an individual mental health provider in Fort Myers, Florida, licensed in Florida (MH2606) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033126875
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. WAYNE DOUGLAS MEDDOCKCredential: LMHC
Location Address6360 TECHSTER BLVD STE 1Fort Myers, FL 33966-4805
Mailing Address6360 Techster Blvd Ste 1Fort Myers, FL 33966-4805 · (239) 223-2751
Sole ProprietorNo
Enumeration DateAugust 2, 2006
Last NPPES UpdateJanuary 24, 2018
NPI 1033126875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in FL · MH2606
6360 TECHSTER BLVD STE 1, Fort Myers, FL 33966

Other Identifiers 1

Medicaid768549100FL

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Wayne Douglas Meddock Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location


The following 18 providers are registered at the same or a nearby location.

Occupational Therapist
6360 TECHSTER BLVD STE 1
FORT MYERS, FL 33966
Behavior Technician
6360 TECHSTER BLVD STE 1
FORT MYERS, FL 33966
Counselor (Mental Health)
6360 TECHSTER BLVD STE 1
FORT MYERS, FL 33966
Counselor (Mental Health)
6360 TECHSTER BLVD STE 1
FORT MYERS, FL 33966
Physician Assistant
6360 TECHSTER BLVD STE 1
FORT MYERS, FL 33966
Counselor (Mental Health)
6360 TECHSTER BLVD STE 1
FORT MYERS, FL 33966
Nurse Practitioner (Primary Care)
6360 TECHSTER BLVD STE 1
FORT MYERS, FL 33966
Nurse Practitioner (Psychiatric/Mental Health)
6360 TECHSTER BLVD STE 1
FORT MYERS, FL 33966
Nurse Practitioner (Psychiatric/Mental Health)
6360 TECHSTER BLVD STE 1
FORT MYERS, FL 33966
Counselor (Mental Health)
6360 TECHSTER BLVD STE 1
FORT MYERS, FL 33966
Social Worker (Clinical)
6360 TECHSTER BLVD STE 1
FORT MYERS, FL 33966
Nurse Practitioner (Psychiatric/Mental Health)
6360 TECHSTER BLVD STE 1
FORT MYERS, FL 33966
Nurse Practitioner (Psychiatric/Mental Health)
6360 TECHSTER BLVD STE 1
FORT MYERS, FL 33966
Psychiatry & Neurology (Psychiatry)
6360 TECHSTER BLVD STE 1
FORT MYERS, FL 33966
Social Worker (Clinical)
6360 TECHSTER BLVD STE 1
FORT MYERS, FL 33966
Behavior Technician
6360 TECHSTER BLVD STE 1
FORT MYERS, FL 33966
Psychologist (Clinical)
6360 TECHSTER BLVD STE 1
FORT MYERS, FL 33966
Social Worker (Clinical)
6360 TECHSTER BLVD STE 1
FORT MYERS, FL 33966

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033126875, enumerated as an "individual" on August 02, 2006.

The provider is located at 6360 TECHSTER BLVD STE 1 FORT MYERS, FL 33966 and the phone number is (239) 223-2751.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

The provider might be accepting Accepts: Ambetter from Superior HealthPlan, Ambetter. Please consult your insurance carrier or call the provider to verify.