Individual provider Active NPI

Linda Ritch

  • Mental Health Counselor
  • St Augustine, FL
National Provider Identifier
1568923324
Registry record updated Mar 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
IMH18018 Issued in FL
Practice address
109 Nature Walk Pkwy Unit 104
St Augustine, FL 32092-5065
Phone
(904) 710-7586
NPI assigned
Mar 26, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IMH18018 FL Primary

Addresses

Primary practice location

109 Nature Walk Pkwy Unit 104
St Augustine, FL 32092-5065

Mailing address

109 Nature Walk Pkwy Unit 104
St Augustine, FL 32092-5065
Phone (904) 710-7586

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 24, 2024 through Jul 24, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
IMH18018FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Open Arms Counseling Center Georgia LLC CurrentSince Jan 12, 2025 Accepting new patients
Open Arms Counseling Center LLC Mental Health Current Accepting new patients

Locations

12443 San Jose Blvd
Ste 401
Jacksonville, FL 32223
Phone (904) 383-7613

12058 San Jose Blvd
Ste 503
Jacksonville, FL 32223
Phone (770) 891-8439

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553558400000",
    "number": "1568923324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 NATURE WALK PKWY UNIT 104",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320925065",
            "telephone_number": "904-710-7586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 NATURE WALK PKWY UNIT 104",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320925065",
            "telephone_number": "904-710-7586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RITCH",
        "first_name": "LINDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-26",
        "last_updated": "2019-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH18018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

Verify at the official NPI Registry.