Individual provider Active NPI

Ruth Olmstead, PH.D.

  • Mental Health Counselor
  • Hallandale Beach, FL
National Provider Identifier
1700182987
Registry record updated Feb 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH10613 Issued in FL
Practice address
137 Golden Isles Dr
#706
Hallandale Beach, FL 33009-5886
Phone
(954) 296-8341
NPI assigned
Feb 4, 2011
Last updated
Feb 4, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2011

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 MH10613 FL Primary

Addresses

Primary practice location

137 Golden Isles Dr
#706
Hallandale Beach, FL 33009-5886

Mailing address

137 Golden Isles Dr
#706
Hallandale Beach, FL 33009-5886
Phone (954) 296-8341

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
I20250402001495 FL Practitioner - Mental Health Counselor 8325561186 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
M3 Haven Inc. Mental Health CurrentSince Feb 1, 2025 Accepting new patients

Locations

6769 N Wickham Rd
Ste B101
Melbourne, FL 32940
Phone (321) 321-1490

930 S Harbor City Blvd
Ste 100
Melbourne, FL 32901
Phone (321) 321-1490

Organizations & group practices 1

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": "1296777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296777600000",
    "number": "1700182987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 GOLDEN ISLES DR",
            "address_2": "#706",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330095886",
            "telephone_number": "954-296-8341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 GOLDEN ISLES DR",
            "address_2": "#706",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330095886",
            "telephone_number": "954-296-8341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLMSTEAD",
        "first_name": "RUTH",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-04",
        "last_updated": "2011-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH10613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hallandale Beach, FL

Sources for this page

Verify at the official NPI Registry.