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Active NPI 1306196456 Individual Practitioner Female Practitioner

Ruby Kish , RN, LCSW

Counselor - Mental Health • Jacksonville, FL

Professional Overview & Biography Verified Profile Summary

Ruby Kish, RN, LCSW is a registered healthcare professional specializing in Counselor - Mental Health in Jacksonville, FL. Practice services are available at 10175 FORTUNE PKWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

10175 Fortune Pkwy
1106

Jacksonville, FL 322566746

Telephone 9043795928
Associated Practice Facility / Clinic
🏢 Altomare Chiropractic Center Pa Facility NPI 1720138035

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Mental Health in Jacksonville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.5 Yrs
State Avg: 15.5 Yrs
Regional Practice Density
1409 Specialists

Practicing in Jacksonville, FL (23930 Statewide)

Telehealth Adoption Rate
3.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Mental Health Primary Specialty

NUCC Taxonomy Code: 101YM0800X

State License FL SW 10973

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Chet Hein , LMHC

Counselor - Mental Health

NPI 1194016121

Licensed Mental Health Counselor

Sohail Khan , PA

Hospitalist

NPI 1275745333

Physician Assistant

Dr. Mohammad Farooque , MD, PhD

Psychiatry & Neurology - Psychiatry

NPI 1730100587

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Megan Rockwood , MA, LMHC, CAP

Counselor - Mental Health

NPI 1972884252

Master of Arts, Licensed Mental Health Counselor, CAP

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active September 17, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location September 17, 2012

Registered at 10175 FORTUNE PKWY, 1106, JACKSONVILLE, FL 322566746 (Tel: 9043795928)

📍
Updated Business Mailing Address September 17, 2012

Registered at 9343 ILLINOIS ST, JACKSONVILLE, FL 322186023 (Tel: 9044484402)

👤
Provider Name / Credentials Updated September 17, 2012

Recorded as RUBY KISH, RN, LCSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 17, 2012

Counselor (License #SW 10973 in FL)

🟢
Initial NPI Registration & Enumeration September 17, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1306196456
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 17, 2012
Last Update: September 17, 2012
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

9343 Illinois St

Jacksonville, FL 322186023

Phone: 9044484402

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.