JEFFREY G WADDICK JR. LMHC
NPI 1720861776
Counselor - Mental Health in Deland, FL

Q: What is Jeffrey Waddick's NPI number?

The NPI number for Jeffrey Waddick is 1720861776. It was assigned to this individual provider in the NPPES registry on August 15, 2023.

Q: What is Jeffrey Waddick's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Waddick was last updated on August 19, 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.

Active since August 15, 2023PECOS Enrolled

201 W PLYMOUTH AVE, DELAND, FL 32720(386) 873-2963(386) 873-2786 Get Directions Write a Review

NPPES record last updated: August 19, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Jeffrey G Waddick Jr. Lmhc NPPES

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

JEFFREY G WADDICK JR. LMHC (NPI 1720861776) is an individual mental health provider in Deland, Florida, licensed in Florida (MH26286) and active in the NPI registry since August 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1720861776

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameJEFFREY G WADDICK JR.Credential: LMHC

Location Address201 W PLYMOUTH AVEDeland, FL 32720-2753

Mailing Address201 W Plymouth AveDeland, FL 32720-2753 · (386) 873-2963 · Fax (386) 873-2786

Phone(386) 873-2963

Fax(386) 873-2786

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateAugust 15, 2023

Last NPPES UpdateAugust 19, 2025

NPPES CertifiedAugust 19, 2025

✔ NPI 1720861776 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 · MH26286

201 W PLYMOUTH AVE, Deland, FL 32720

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeffrey G Waddick Jr. Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2466936547

PECOS Enrollment IDI20260318000600

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 Reassignment

Medicare enrollment records show Jeffrey Waddick reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Saafe Behavioral Services LLC

Same address

Community/Behavioral Health

201 W PLYMOUTH AVE
Deland, FL 32720

Reassigned Medicare billing, Florida enrollment
18 clinicians in this Medicare group

NPI 1154757557 (386) 873-2963

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

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.

WHIDDEN FLORES

Social Worker (Clinical)