Ruby Jessica Holmes, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH21978 Issued in FL

Practice address

570 Memorial Cir Ste 200
Ormond Beach, FL 32174-5002

Phone

(138) 694-4981

NPI assigned

Jan 19, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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

Specialty

Mental Health Counselor

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Compassionate Health and Managed Pain LLCGroup PAC ID 2668749490, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Compassionate Health and Managed Pain LLC

  • Neurology Physician
  • Ormond Beach, FL
  • NPI 1184165862

  Addiction (Substance Use Disorder)

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1642550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1649922949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 MEMORIAL CIR STE 200",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321745002",
            "telephone_number": "138-694-4981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 MEMORIAL CIR STE 200",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321745002",
            "telephone_number": "138-694-4981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "RUBY",
        "middle_name": "JESSICA",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-19",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "MH21978",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH21978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ruby@champhealth4u.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "570 Memorial Cir Ste 200",
            "city": "Ormond Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "321745002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ashley Holland, OT
• Jane Frances Hollen, OTR
• Scott Hollington, MD
• Bob Flint Hollis
• James D Holloway, OTA/L
• John Blake Holt, M.D.
• Home Delivery Incontinent Supplies Co Inc
• Home Health Care of Florida
• Home Stewards Health Services LLC
• Hopkins Hearing Institute

• Mental Health Counselor in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; 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.

Verify at the official NPI Registry.