MEDICARE: JOHN C CLUXTON PHD,LMFT,LMHC,NCC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	MH6603	FL
2	106H00000X	Marriage & Family Therapist	MT1678	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	Z096C	OTHER	FL	BCBS OF FL PROVIDER #
2	7872743	OTHER	FL	GREENWAVE AETNA PROVIDER

General Provider Information

NPI Number	:	1043327794
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN C CLUXTON PHD,LMFT,LMHC,NCC

Provider Business Mailing Address
First Line	:	215 FOREST PARK CIR
Second Line	:
City	:	PANAMA CITY
State	:	FL
Zip	:	32405-4916
Country	:	US
Telephone Number	:	850-215-5657
Fax Number	:	850-215-5658

Provider Business Practice Location Address
First Line	:	215 FOREST PARK CIR
Second Line	:
City	:	PANAMA CITY
State	:	FL
Zip	:	32405-4916
Country	:	US
Telephone Number	:	850-215-5657
Fax Number	:	850-215-5658

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/25/2006
Last Update Date	:	09/11/2025

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