Organization Active NPI

Ruby D Counseling Services LLC

  • Mental Health Counselor
  • Auburndale, FL
National Provider Identifier
1265002083
Registry record updated Jul 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
RUBY D COUNSELING SERVICES LLC
Practice address
209 Palmetto St Ste 7
Auburndale, FL 33823-3426
Phone
(863) 206-4255
NPI assigned
Jun 25, 2021
Last updated
Jul 2, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2021

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

Authorized official

Name
Ruby Nash, LMHCNPI 1972857761
Title
Owner
Phone
(863) 206-4255

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

209 Palmetto St Ste 7
Auburndale, FL 33823-3426

Mailing address

209 Palmetto St Ste 7
Auburndale, FL 33823-3426
Phone (863) 206-4255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231128001036 FL Part B Supplier - Clinic/Group Practice 7012365331 Receives reassigned benefits from 1 practitioner
Practice locations: Auburndale, FL

National Provider Directory

National Provider Directory

Locations

110 W Polk St
#B
Auburndale, FL 33823
Phone (863) 206-4255

209 Palmetto St
Ste 7
Auburndale, FL 33823
Phone (863) 206-4255

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1624579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625184000000",
    "number": "1265002083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 PALMETTO ST STE 7",
            "city": "AUBURNDALE",
            "state": "FL",
            "postal_code": "338233426",
            "telephone_number": "863-206-4255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 PALMETTO ST STE 7",
            "city": "AUBURNDALE",
            "state": "FL",
            "postal_code": "338233426",
            "telephone_number": "863-206-4255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUBY D COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-25",
        "last_updated": "2021-07-02",
        "certification_date": "2021-07-02",
        "status": "A",
        "authorized_official_last_name": "NASH",
        "authorized_official_first_name": "RUBY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-206-4255",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburndale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.