Larry Wagoner, PH.D., LMFT
NPI 1417046699 · Marriage & Family Therapist · Jacksonville, FL
Larry Wagoner, PH.D., LMFT is a Marriage & Family Therapist provider in Jacksonville, FL (NPI 1417046699).
Provider details
- NPI number
- 1417046699
- Entity type
- Individual
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Credential
- PH.D., LMFT
- Sex
- Male
- Sole proprietor
- Yes
- License
- MT1162 (FL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-10-12
- Last updated
- 2013-01-29
Frequently asked questions
- What is Larry Wagoner's NPI number?
- Larry Wagoner's National Provider Identifier (NPI) is 1417046699, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Larry Wagoner's specialty?
- Larry Wagoner is listed in the NPPES registry with a primary specialty of Marriage & Family Therapist (Behavioral Health & Social Service Providers).
- Where is Larry Wagoner located?
- Larry Wagoner's practice location on file with NPPES is 7545 Centurion Pkwy, Jacksonville, FL 32256-0579.
- What is Larry Wagoner's phone number?
- The practice phone number listed in the NPPES registry for Larry Wagoner is (904) 642-2468.
- Is Larry Wagoner's NPI active?
- Yes — Larry Wagoner's NPI (1417046699) is active in the NPPES registry as of the last update on 2013-01-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.