Active NPI
Angela Marie Ryckman-Thalassites, LPC
- Professional Counselor
- Centennial, CO
National Provider Identifier
1124336417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0014502
- Practice address
- 7009 S Potomac St Ste 124
Centennial, CO 80112-4067 - Phone
- (720) 923-2323
- Fax
- (720) 923-2320
- NPI assigned
- Sep 20, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0014502 | CO | Primary |
| Professional Counselor | 101YP2500X | 2009009868 | MO | |
| Professional Counselor | 101YP2500X | 20399 | FL |
Addresses
Primary practice location
7009 S Potomac St Ste 124
Centennial, CO 80112-4067
Mailing address
7009 S Potomac St Ste 124
Centennial, CO 80112-4067
Phone (720) 923-2323
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0014502 | CO | MD | Professional Counselor |
| 2009009868 | MO | MD | Professional Counselor |
| 20399 | FL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767225600000",
"number": "1124336417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7009 S POTOMAC ST STE 124",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801124067",
"telephone_number": "720-923-2323",
"fax_number": "720-923-2320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7009 S POTOMAC ST STE 124",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801124067",
"telephone_number": "720-923-2323",
"fax_number": "720-923-2320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYCKMAN-THALASSITES",
"first_name": "ANGELA",
"middle_name": "MARIE",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-20",
"last_updated": "2026-01-01",
"certification_date": "2026-01-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "0014502",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2009009868",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "FL",
"license": "20399",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Centennial, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.