Deborra Cassandra Rikard, NCC, LPC
Individual provider Active NPI Mental Health Counselor · Nettleton, MS
NPI 1174591044 · NPPES record last updated Jun 29, 2026
Key facts
- NPI
- 1174591044
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 3215 (MS)
- Practice address
- 172 Young Ave
Nettleton, MS 38858-6010 - Phone
- (662) 760-9128
- NPI assigned
- Mar 8, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2004
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
143 C Willowbrook Dr
Saltillo, MS 38866-6896
PO Box
Suite 68
Tupelo, MS 38802-0068
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251030000435 | MS | Practitioner - Mental Health Counselor | 6507355500 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3215 | MS | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heale Counseling, LLC | Mental Health | Current |
Accepting new patients |
| Grace Therapy LLC | Current |
Accepting new patients |
Locations
172 Young Ave
Nettleton, MS 38858
Phone (662) 591-1030
302 S Spring St
Tupelo, MS 38804
Phone (662) 841-8020
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | TPMC6535 | FL | |
| Mental Health Counselor | 101YM0800X | 3215 | MS | Yes |
Addresses
Primary practice location
172 Young Ave
Nettleton, MS 38858-6010
Mailing address
432 Road 1203
Nettleton, MS 38858-8283
Phone (662) 760-9128
Other practice location 1
432 Road 1203
Nettleton, MS 38858-8283
Phone (662) 419-4495
Other providers in Nettleton, MS
- Nettleton Dental LLC
- Nettleton Family Clinic
- Nettleton Family Medical Clinic, Inc.
- Nettleton Medical Express Care LLC
- Kimberly Ray
- Cynthia J Rushing
- Saving Grace Respite Center
- Select Choice at Home Family Care
- Christopher Jarvene Shackelford
- Thomas Andrew Spradling
All providers in Nettleton, MS · Mental Health Counselor in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 29, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.