Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1790331270 Individual Practitioner Male Practitioner

Jon Waller , LMHC

Counselor • Tamarac, FL

Professional Overview & Biography Verified Profile Summary

Jon Waller, LMHC is a registered healthcare professional specializing in Counselor in Tamarac, FL. Practice services are available at 4800 W COMMERCIAL BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4800 W Commercial Blvd

Tamarac, FL 333192879

Telephone 9543003244
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Tamarac, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.0 Yrs
State Avg: 14.5 Yrs
Regional Practice Density
12 Specialists

Practicing in Tamarac, FL (3441 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License FL MH12508

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1801460589

Doctor of Chiropractic

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 12, 2019

NPI status registered as active in NPPES database

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Updated Practice Location August 12, 2019

Registered at 4800 W COMMERCIAL BLVD, TAMARAC, FL 333192879 (Tel: 9543003244)

📍
Updated Business Mailing Address August 12, 2019

Registered at 925 INTRACOASTAL DR APT 8, FORT LAUDERDALE, FL 333043688 (Tel: 3522464027)

👤
Provider Name / Credentials Updated August 12, 2019

Recorded as JON WALLER, LMHC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 12, 2019

Counselor (License #MH12508 in FL)

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Initial NPI Registration & Enumeration August 12, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1790331270
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 12, 2019
Last Update: August 12, 2019
Sole Proprietor: Yes

Mailing Address

925 Intracoastal Dr Apt 8

Fort Lauderdale, FL 333043688

Phone: 3522464027

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.