Baptist Behavioral Health, LLC
NPI 1215906649ActiveOrganization· Counselor, Professional· Jacksonville, FL
Counselor, Professional in Jacksonville, Florida, registered in NPPES in March 2006, part of Southern Baptist Hospital of Florida, Inc. The authorized official on file is Kendra Wagner, LMHC, Administrator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1215906649 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Southern Baptist Hospital of Florida, Inc |
| NPI issued | Mar 17, 2006 |
| Last updated in NPPES | Jun 29, 2026 |
| Certified by provider | Jun 29, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | — | — |
| Counselor, Mental Health | 101YM0800X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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