Ruby Brianna Winters, TLPC - MHSP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6332 Issued in TX

Practice address

650 E Parkway S
Memphis, TN 38104-5519

Phone

(901) 676-1919

NPI assigned

Nov 8, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Renew and Bloom Wellness LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Memphis, TN
  • NPI 1790636819
  NPD Authorized official

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

{
    "created_epoch": "1699401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1235903519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3433 SEAFORTH DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381276939",
            "telephone_number": "901-496-2796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 E PARKWAY S",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381045519",
            "telephone_number": "901-676-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINTERS",
        "first_name": "RUBY",
        "middle_name": "BRIANNA",
        "credential": "TLPC - MHSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-08",
        "last_updated": "2023-11-08",
        "certification_date": "2023-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "6332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Shead Winston, PHARMD
• Pavielle Winston
• Betty A Winter, ED.D
• Gregory J Winterburn, LPC
• Kimberly Winters
• Jasina Camille Winton, D.D.S.
• Esther M. Wipf, M.A.; CTRS;
• Camron Wipfli, MD
• Kari Rose Wipfli, P.A.
• Jeremiah Wisdom, DPT

• Mental Health Counselor in Memphis, TN
• Providers in Memphis, TN by specialty
• Mental Health Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; 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.