IndividualActive
Jon Waller, LMHC
NPI 1790331270 · Counselor · Tamarac, FL
Jon Waller, LMHC is a Counselor provider in Tamarac, FL (NPI 1790331270).
Provider details
- NPI number
- 1790331270
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Credential
- LMHC
- Sex
- Male
- Sole proprietor
- Yes
- License
- MH12508 (FL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
4800 W Commercial Blvd
Tamarac, FL 33319-2879
Phone: (954) 300-3244
Approximate (ZIP-level) locationGet directions
Mailing address
925 Intracoastal Dr Apt 8
Fort Lauderdale, FL 33304-3688
Registry dates
- Enumerated
- 2019-08-12
- Last updated
- 2019-08-12
Frequently asked questions
- What is Jon Waller's NPI number?
- Jon Waller's National Provider Identifier (NPI) is 1790331270, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jon Waller's specialty?
- Jon Waller is listed in the NPPES registry with a primary specialty of Counselor (Behavioral Health & Social Service Providers).
- Where is Jon Waller located?
- Jon Waller's practice location on file with NPPES is 4800 W Commercial Blvd, Tamarac, FL 33319-2879.
- What is Jon Waller's phone number?
- The practice phone number listed in the NPPES registry for Jon Waller is (954) 300-3244.
- Is Jon Waller's NPI active?
- Yes — Jon Waller's NPI (1790331270) is active in the NPPES registry as of the last update on 2019-08-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.