Individual provider Active NPI

John B Fruits, MS, LCPC, NCC

  • Mental Health Counselor
  • Smyrna, DE
National Provider Identifier
1750164513
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC14102 Issued in MD
Practice address
9 W Commerce St
Smyrna, DE 19977-1463
Phone
(302) 559-6212
NPI assigned
Aug 16, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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 LC14102 MD Primary

Addresses

Primary practice location

9 W Commerce St
Smyrna, DE 19977-1463

Mailing address

9 W Commerce St
Smyrna, DE 19977-1463
Phone (302) 559-6212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20240103000032 DE Practitioner - Mental Health Counselor 6901256916 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11 W Commerce St
Smyrna, DE 19977-1463
Phone (302) 559-6212

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LC14102MDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
John B Fruits Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

11 W Commerce St
Smyrna, DE 19977
Phone (302) 559-6212

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1692144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1750164513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 W COMMERCE ST",
            "city": "SMYRNA",
            "state": "DE",
            "postal_code": "199771463",
            "telephone_number": "302-559-6212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 W COMMERCE ST",
            "city": "SMYRNA",
            "state": "DE",
            "postal_code": "199771463",
            "telephone_number": "302-559-6212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRUITS",
        "first_name": "JOHN",
        "middle_name": "B",
        "credential": "MS, LCPC, NCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-16",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC14102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, DE

Sources for this page

Verify at the official NPI Registry.