ANDREW WALLIN LMHC
NPI 1134624596
Counselor - Mental Health in Jacksonville, FL
About Andrew Wallin Lmhc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANDREW WALLIN LMHC (NPI 1134624596) is an individual mental health provider in Jacksonville, Florida, licensed in Florida (MH25200) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Andrew Wallin Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JACKSONVILLE, FL 32218
JACKSONVILLE, FL 32218
JACKSONVILLE, FL 32218
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Andrew Wallin's NPI number?
The NPI number for Andrew Wallin is 1134624596. It was assigned to this individual provider in the NPPES registry on March 28, 2018.
Where is Andrew Wallin located?
Andrew Wallin practices at 3890 Dunn Ave, Jacksonville, FL 32218. The listed phone number is (904) 765-0665.
What is Andrew Wallin's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Andrew Wallin enrolled in Medicare?
Yes. Andrew Wallin is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Andrew Wallin was last updated on March 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Andrew Wallin, LMHC · NPI 1134624596
Mental Health provider in Jacksonville, Florida. Individual provider, active in the CMS NPPES registry since March 28, 2018.
## Identity
- **NPI:** 1134624596 (Entity type: Individual)
- **Enumerated:** March 28, 2018
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** MH25200 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3890 DUNN AVE, Jacksonville, FL 32218-6428
- **Phone:** (904) 765-0665
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** March 25, 2026
- **Other identifiers:** Medicaid 02790900 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1134624596) · Data from the CMS NPPES public registry.