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

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: August 23, 2026.

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).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)

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.

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)
201 W PLYMOUTH AVE
DELAND, FL 32720
Volusia County (386) 873-2963
SHAMARR CARMINO
Counselor (Mental Health)
201 W PLYMOUTH AVE
DELAND, FL 32720
Volusia County (386) 873-2963
CARLA M BROWN-CAJUSTE
Marriage & Family Therapist
201 W PLYMOUTH AVE
DELAND, FL 32720
Volusia County (386) 873-2963
KATHARINE ALLISON USHER
Counselor (Mental Health)
201 W PLYMOUTH AVE
DELAND, FL 32720
Volusia County (386) 873-2963
SAAFE BEHAVIORAL SERVICES LLC
Community/Behavioral Health
201 W PLYMOUTH AVE
DELAND, FL 32720
Volusia County (386) 873-2963
BRITTANY KAY
Counselor (Mental Health)
201 W PLYMOUTH AVE
DELAND, FL 32720
Volusia County (386) 873-2963
MELISSA I LUNDELL LMHC
Counselor (Mental Health)
201 W PLYMOUTH AVE
DELAND, FL 32720
Volusia County (386) 873-2963
DR. EDDA CASANOVA MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
201 W PLYMOUTH AVE
DELAND, FL 32720
Volusia County (386) 873-2963

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 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.

Where is Jeffrey Waddick located?

Jeffrey Waddick practices at 201 W Plymouth Ave, Deland, FL 32720. The listed phone number is (386) 873-2963.

What is Jeffrey Waddick's specialty?

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

Is Jeffrey Waddick enrolled in Medicare?

Yes. Jeffrey Waddick is registered in the Medicare PECOS enrollment system.

What insurance does Jeffrey Waddick accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Jeffrey Waddick 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 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 12 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.