Individual provider Active NPI

Meredith McQuagge, MA

  • Mental Health Counselor
  • Fort Walton Beach, FL
National Provider Identifier
1750194239
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH26614 Issued in FL
Practice address
2018 Lewis Turner Blvd Ste C
Fort Walton Beach, FL 32547-1352
Phone
(850) 786-4115
Fax
(850) 702-5972
NPI assigned
Jan 29, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH26614 FL Primary

Addresses

Primary practice location

2018 Lewis Turner Blvd Ste C
Fort Walton Beach, FL 32547-1352

Mailing address

327 Edge Ave
Valparaiso, FL 32580-1070
Phone (850) 924-8104

Other practice location 1

327 Edge Ave
Valparaiso, FL 32580-1070
Phone (850) 924-8104

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MH26614FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ec Therapeutic Services LLC Mental Health CurrentSince Feb 2, 2025 Accepting new patients

Locations

2018 Lewis Turner Blvd
#C
Fort Walton Beach, FL 32547
Phone (850) 786-4115

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1738108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1750194239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 EDGE AVE",
            "city": "VALPARAISO",
            "state": "FL",
            "postal_code": "325801070",
            "telephone_number": "850-924-8104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2018 LEWIS TURNER BLVD STE C",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325471352",
            "telephone_number": "850-786-4115",
            "fax_number": "850-702-5972"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "327 Edge Ave",
            "address_purpose": "LOCATION",
            "city": "Valparaiso",
            "state": "FL",
            "postal_code": "325801070",
            "country_code": "US",
            "telephone_number": "850-924-8104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCQUAGGE",
        "first_name": "MEREDITH",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-29",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH26614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Walton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 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.