Individual provider Active NPI

Rebecca Ruh, MA, LMHC, NCC

  • Mental Health Counselor
  • Winter Park, FL
National Provider Identifier
1669236212
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH23315 Issued in FL
Practice address
1505 Orchid Ave
Winter Park, FL 32789-5649
Phone
(407) 644-4692
NPI assigned
Feb 13, 2024
Last updated
Feb 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X MH23315 FL
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X MH23315 FL
School CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YS0200X MH23315 FL
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X MH23315 FL Primary

Addresses

Primary practice location

1505 Orchid Ave
Winter Park, FL 32789-5649

Mailing address

1505 Orchid Ave
Winter Park, FL 32789-5649
Phone (407) 644-4692

Other identifiers 1

IdentifierTypeStateIssuer
1215965884OtherFLLUTHERAN COUNSELING SERVICES TYPE II NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MH23315FLMDSchool Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Soul Spark Therapy LLC CurrentSince Jul 21, 2024 Accepting new patients
Lutheran Counseling Services, Inc. Mental Health CurrentSince Feb 17, 2025 Accepting new patients
Lutheran Counseling Services PastSince Feb 18, 2024 Accepting new patients

Locations

1317 Edgewater Dr
Orlando, FL 32804
Phone (877) 436-8527

1505 Orchid Ave
Winter Park, FL 32789
Phone (407) 644-4692

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": "1707782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1669236212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 ORCHID AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327895649",
            "telephone_number": "407-644-4692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 ORCHID AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327895649",
            "telephone_number": "407-644-4692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUH",
        "first_name": "REBECCA",
        "credential": "MA, LMHC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-13",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "FL",
            "license": "MH23315",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "MH23315",
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, School",
            "state": "FL",
            "license": "MH23315",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH23315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LUTHERAN COUNSELING SERVICES TYPE II NPI",
            "identifier": "1215965884",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.