ELIZABETH SUMMER WIGLE
NPI 1376013680
Counselor - Mental Health in South Daytona, FL

Active since November 29, 2018PECOS EnrolledAccepts Medicare Assignment
2400 S RIDGEWOOD AVE STE 32, SOUTH DAYTONA, FL 32119(347) 362-9548 Get Directions Write a Review

NPPES record last updated: August 21, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 19, 2025, Nov 29, 2018 (2 updates tracked since 2018).

About Elizabeth Summer Wigle NPPES

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

ELIZABETH SUMMER WIGLE (NPI 1376013680) is an individual mental health provider in South Daytona, Florida, licensed in Florida (MH19802) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Arcadia, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1376013680
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameELIZABETH SUMMER WIGLE
Location Address2400 S RIDGEWOOD AVE STE 32South Daytona, FL 32119-3073
Mailing Address44 Bluebird LnOrmond Beach, FL 32174-4203 · (347) 362-9548
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateNovember 29, 2018
Last NPPES UpdateAugust 21, 20252 updates tracked since enumeration
NPPES CertifiedAugust 21, 2025
✔ NPI 1376013680 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 · MH19802
2400 S RIDGEWOOD AVE STE 32, South Daytona, FL 32119

Secondary Practice Location 1

Location 1725 N 12th Ave Bldg BArcadia, FL 34266-8752 · Phone (863) 494-1242 · Fax (863) 993-0108

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Elizabeth Summer Wigle is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1759721418
PECOS Enrollment IDI20240429000283
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Elizabeth Wigle reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinical
540 E HORATIO AVE STE 200
Maitland, FL 32751
  • Reassigned Medicare billing, Florida enrollment
  • 34 clinicians in this Medicare group
Psychiatry
3200 SW 34TH AVE STE 701
Ocala, FL 34474
  • Reassigned Medicare billing, Florida enrollment
  • 369 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
12271 US HIGHWAY 301 N
Parrish, FL 34219
  • Reassigned Medicare billing, Florida enrollment
  • 709 clinicians in this Medicare group
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Florida enrollment
  • 3,079 clinicians in this Medicare group
Mental Health
110 N CORCORAN ST FL 5
Durham, NC 27701
  • Reassigned Medicare billing, Florida enrollment
  • 281 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
99 services13 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
15 services15 patients

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
2400 S RIDGEWOOD AVE STE 32
SOUTH DAYTONA, FL 32119
Case Manager/Care Coordinator
2400 S RIDGEWOOD AVE STE 32
SOUTH DAYTONA, FL 32119
Behavior Analyst
2400 S RIDGEWOOD AVE STE 32
SOUTH DAYTONA, FL 32119
Counselor (Mental Health)
2400 S RIDGEWOOD AVE STE 32
SOUTH DAYTONA, FL 32119
Counselor (Mental Health)
2400 S RIDGEWOOD AVE STE 32
SOUTH DAYTONA, FL 32119
Counselor
2400 S RIDGEWOOD AVE STE 32
SOUTH DAYTONA, FL 32119
Counselor
2400 S RIDGEWOOD AVE STE 32
SOUTH DAYTONA, FL 32119
Counselor (Mental Health)
2400 S RIDGEWOOD AVE STE 32
SOUTH DAYTONA, FL 32119

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 Elizabeth Wigle's NPI number?

The NPI number for Elizabeth Wigle is 1376013680. It was assigned to this individual provider in the NPPES registry on November 29, 2018.

Where is Elizabeth Wigle located?

Elizabeth Wigle practices at 2400 S Ridgewood Ave Ste 32, South Daytona, FL 32119. The listed phone number is (347) 362-9548.

What is Elizabeth Wigle's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Elizabeth Wigle enrolled in Medicare?

Yes. Elizabeth Wigle is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Elizabeth Wigle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Wigle reassigns Medicare benefits to 5 organizations: Beth Davalos Counseling Center LLC (Maitland, FL), Balanced Wellbeing LLC (Ocala, FL), Mcr Health, Inc. (Parrish, FL), Grow Healthcare Group PA (Miami, FL) and Mental Health Specialty Group PA (Durham, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Elizabeth Wigle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elizabeth Wigle accept?

Health plans from AmeriHealth Caritas Next, Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 2 other insurers list Elizabeth Wigle as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Elizabeth Wigle was last updated on August 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.