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MARY ELIZABETH RICKETTS LCSW NPI 1417992124


NPI Information

NPI: 1417992124
Provider Name: MARY ELIZABETH RICKETTS, LCSW
Classification: Counselor - 101Y00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
5050 N 8TH PL
SUITE 8
PHOENIX, AZ
ZIP 85014
Phone: (602) 285-9696
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Mary Elizabeth Ricketts, LCSW is a counselor in Phoenix, AZ. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Mary Elizabeth Ricketts, LCSW NPI is 1417992124. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5050 N 8TH PL
SUITE 8
PHOENIX, AZ
ZIP 85014-202
Phone: (602) 285-9696
Fax: (602) 277-5930

The NPI 1417992124 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Psychotherapy, 45 minutes with patient and/or family member (HCPCS:90834)
  • Psychiatric diagnostic evaluation (HCPCS:90791)

The enumeration date for this NPI number is 6/17/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselorLCSW 11539ARIZONAYes
2101YM0800XCounselorMental HealthLCSW 11539ARIZONAX

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.