Individual provider Active NPI

Renata Drukh, LMHC

  • Mental Health Counselor
  • Jacksonville, FL
National Provider Identifier
1811234685
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH22132 Issued in FL
Practice address
10163 MC Laurin Rd E
Jacksonville, FL 32256-6509
Phone
(847) 293-8864
NPI assigned
Jan 13, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH22132 FL Primary
Mental Health Counselor 101YM0800X 180007254 IL

Addresses

Primary practice location

10163 MC Laurin Rd E
Jacksonville, FL 32256-6509

Mailing address

10163 MC Laurin Rd E
Jacksonville, FL 32256-6509
Phone (847) 293-8864

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180007254ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Renata Drukh Psychology LLC CurrentSince Jan 17, 2025 Accepting new patients

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": "1358035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1811234685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10163 MC LAURIN RD E",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322566509",
            "telephone_number": "847-293-8864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10163 MC LAURIN RD E",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322566509",
            "telephone_number": "847-293-8864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRUKH",
        "first_name": "RENATA",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-13",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH22132",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180007254",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.