Organization Active NPI

Ruth J. Worsham LMHC LLC

  • Mental Health Counselor
  • Port St Lucie, FL
National Provider Identifier
1144469321
Registry record updated Jun 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH9415 Issued in FL
Legal business name
RUTH J. WORSHAM LMHC LLC
Practice address
600 SW Darwin Blvd Ste 205
Port St Lucie, FL 34953-3365
Phone
(772) 528-8558
NPI assigned
Feb 12, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Ruth J Worsham, LMHC
Title
Owner
Phone
(772) 528-8558

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X MH9415 FL Primary

Addresses

Primary practice location

600 SW Darwin Blvd Ste 205
Port St Lucie, FL 34953-3365

Mailing address

661 SW McCracken Ave
Port St Lucie, FL 34953-3933
Phone (772) 528-8558

Other names 1

  • Ruth J. Worsham Other name

National Provider Directory

National Provider Directory

Locations

600 SW Darwin Blvd
Ste 205
Port St Lucie, FL 34953
Phone (772) 528-8558

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1234396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339286400000",
    "number": "1144469321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661 SW MCCRACKEN AVE",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349533933",
            "telephone_number": "772-528-8558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 SW DARWIN BLVD STE 205",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349533365",
            "telephone_number": "772-528-8558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUTH J. WORSHAM LMHC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-12",
        "last_updated": "2012-06-10",
        "status": "A",
        "authorized_official_last_name": "WORSHAM",
        "authorized_official_first_name": "RUTH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-528-8558",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH9415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ruth J. Worsham",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.