Individual provider Active NPI

Kimberly Issac Jones, LMHC, RPH.

  • Mental Health Counselor
  • Jupiter, FL
National Provider Identifier
1376607796
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH26173 Issued in FL
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, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251209000736 FL Practitioner - Mental Health Counselor 6002042025 Reassigns benefits to 1 organization

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
Holly Kendrigan IncGroup PAC ID 0547657769, 2 clinicians

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

LicenseStateTypeSpecialty
MH26173FLMDMental Health Counselor
PS34635FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
KTJ Enterprises, LLC Pharmacist CurrentSince Feb 1, 2014 Accepting new patients
Holly Kendrigan, Inc. CurrentSince Oct 22, 2025 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.

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

Verify at the official NPI Registry.