Jeffrey G Waddick Jr., LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

201 W Plymouth Ave
Deland, FL 32720-2753

Phone

(386) 873-2963

Fax

(386) 873-2786

NPI assigned

Aug 15, 2023

Last updated

Aug 19, 2025By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Saafe Behavioral Services LLC

  • Community/Behavioral Health Agency
  • Deland, FL
  • NPI 1154757557
  Medicare reassignment NPD
• Saafe Health Services LLC

  • Addiction (Substance Use Disorder) Psychologist
  • Daytona Beach, FL
  • NPI 1497048284
  NPD

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

{
    "created_epoch": "1692057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1720861776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W PLYMOUTH AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327202753",
            "telephone_number": "386-873-2963",
            "fax_number": "386-873-2786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W PLYMOUTH AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327202753",
            "telephone_number": "386-873-2963",
            "fax_number": "386-873-2786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADDICK",
        "first_name": "JEFFREY",
        "middle_name": "G",
        "name_suffix": "Jr.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-15",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH26286",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Volusia County Schools
• Volusia County Schools
• Volusia Medical Center LLC (Volusia Medical Center of Deland)
• Volusia Optical, L.L.C
• Volusia/Flagler Family Young Men's Christian Association
• Marcia Wade
• Tremayne Wade
• Lyle E Wadsworth, MD
• Wal-Mart Stores East LP (Walmart Pharmacy 10-0860)
• Wal-Mart Stores East LP (Walmart Pharmacy 10-2944)

• Mental Health Counselor in Deland, FL
• Providers in Deland, 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 Aug 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.