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JON WALLER LMHC
NPI 1790331270
Counselor in Tamarac, FL

Active since August 12, 2019
4800 W COMMERCIAL BLVD, TAMARAC, FL 33319(954) 300-3244 Get Directions Write a Review

NPPES record last updated: August 12, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jon Waller Lmhc NPPES

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

JON WALLER LMHC (NPI 1790331270) is an individual counselor in Tamarac, Florida, licensed in Florida (MH12508) and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1790331270
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameJON WALLERCredential: LMHC
Location Address4800 W COMMERCIAL BLVDTamarac, FL 33319-2879
Mailing Address925 Intracoastal Dr Apt 8Fort Lauderdale, FL 33304-3688 · (352) 246-4027
Phone(954) 300-3244
Sole ProprietorYes
Enumeration DateAugust 12, 2019
✔ NPI 1790331270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in FL · MH12508
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
4800 W COMMERCIAL BLVD, Tamarac, FL 33319
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Other Providers at the Same Location NPPES 3

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

363 THERAPY, LLC
Social Worker (Clinical)
4800 W COMMERCIAL BLVD
TAMARAC, FL 33319
Broward County (954) 805-4509
LORIN C CHASAR CHIROPRACTIC SERVICES
Chiropractor
4800 W COMMERCIAL BLVD
TAMARAC, FL 33319
Broward County (954) 990-5368
DR. LORIN CHASAR DC
Chiropractor
4800 W COMMERCIAL BLVD
TAMARAC, FL 33319
Broward County (954) 990-5368

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 Jon Waller's NPI number?

The NPI number for Jon Waller is 1790331270. It was assigned to this individual provider in the NPPES registry on August 12, 2019.

Where is Jon Waller located?

Jon Waller practices at 4800 W Commercial Blvd, Tamarac, FL 33319. The listed phone number is (954) 300-3244.

What is Jon Waller's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Jon Waller was last updated on August 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.