Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Dr. Larry D Wagoner, PH.D., LMFT

Marriage & Family Therapist in Jacksonville, FL · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1417046699

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Registry record

Entity type Individual (Type 1)

Name Dr. Larry D Wagoner

Credential PH.D., LMFT

Sex Male

Practice address Jacksonville, FL, 32256

Phone (904) 642-2468

Fax (904) 642-2469

Enumeration date Oct 12, 2006

Last updated in NPPES Jan 29, 2013

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

106H00000X Marriage & Family Therapist Behavioral Health & Social Service Providers · License MT1162 (FL) Primary

PHD · Doctor of Philosophy: A doctoral degree; in healthcare often held by clinical psychologists and researchers. About the PHD credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Larry Wagoner practice?

The practice location on file with NPPES is in Jacksonville, FL. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Larry Wagoner?

The National Provider Identifier (NPI) for Larry Wagoner is 1417046699, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-01-29.