Active NPI
Kimberly Issac Jones, LMHC, RPH.
- Mental Health Counselor
- Jupiter, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH26173
- Practice address
- 125 W Indiantown Rd Ste 106
Jupiter, FL 33458-3539 - Phone
- (561) 371-2374
- NPI assigned
- Dec 20, 2006
- Last updated
- Sep 8, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH26173 | FL | Primary |
| Pharmacist | 183500000X | PS34635 | FL |
Addresses
Primary practice location
125 W Indiantown Rd Ste 106
Jupiter, FL 33458-3539
Mailing address
5492 SE Nassau Ter
Stuart, FL 34997-2438
Phone (561) 262-8456
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
125 W Indiantown Rd
Suite 106
Jupiter, FL 33458-3539
Phone (561) 371-2374
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH26173 | FL | MD | Mental Health Counselor |
| PS34635 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KTJ Enterprises, LLC | Pharmacist | Current | Accepting new patients |
| Holly Kendrigan, Inc. | Current | Accepting new patients | |
| Prescription Shop of Stuart, Inc | Past | Accepting new patients |
Locations
125 W Indiantown Rd
Ste 106
Jupiter, FL 33458
Phone (561) 371-2374
622 S Colorado Ave
Stuart, FL 34994
Phone (772) 287-3443
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- Jupiter, FL
- NPI 1548918741
-
- Community/Retail Pharmacy
- Stuart, FL
- NPI 1225186497
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757289600000",
"number": "1376607796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5492 SE NASSAU TER",
"city": "STUART",
"state": "FL",
"postal_code": "349972438",
"telephone_number": "561-262-8456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 W INDIANTOWN RD STE 106",
"city": "JUPITER",
"state": "FL",
"postal_code": "334583539",
"telephone_number": "561-371-2374"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "KIMBERLY",
"middle_name": "ISSAC",
"name_prefix": "Mrs.",
"credential": "LMHC, RPH.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-20",
"last_updated": "2025-09-08",
"certification_date": "2025-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH26173",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS34635",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jupiter, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.