Douglas Jerome Wilkerson

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH28687 Issued in FL

Practice address

203 Avenue a NW Ste 300
Winter Haven, FL 33881-4540

Phone

(863) 299-7787

NPI assigned

Oct 6, 2026

Last updated

Oct 6, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Heartland Community Church, Inc.

  dba Heartland Counseling Center

  • Psychologist
  • Winter Haven, FL
  • NPI 1063937845

  Multi-Specialty

  NPD (past)
• Nurse on Call, LLC

  dba HCA Florida Healthcare at Home

  • Home Health Agency
  • PT Charlotte, FL
  • NPI 1891747952
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1791244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791244800000",
    "number": "1326942061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "932 VAN DR",
            "city": "AUBURNDALE",
            "state": "FL",
            "postal_code": "338239478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 AVENUE A NW STE 300",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814540",
            "telephone_number": "863-299-7787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKERSON",
        "first_name": "DOUGLAS",
        "middle_name": "JEROME",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-10-06",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH28687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul T Wielebinski, M.D.
• Michael Thomas Wiernicki
• Amber Lee Wiertel, COTA
• Ashley Rose Wilk, D.O.
• Deborah M Wilkerson, ARNP-C, MSN, COHN-S
• Alicia Wilkinson-Dickens, LCSW
• Edgar H Willard, M.D.
• William Mac Vanderpool Jr
• Amanda Kay Williams
• Chapman Clay Williams, PTA

• Mental Health Counselor in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.