Active NPI
David Ronald Rickerhauser, PH.D.
- Professional Counselor
- Fredericksurg, TX
National Provider Identifier
1225568546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 74317
- Practice address
- 400 Prairie View Trail
Fredericksurg, TX 78624 - Phone
- (830) 456-2449
- NPI assigned
- Jun 19, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 33182 | TX | |
| Professional Counselor | 101YP2500X | 74317 | TX | Primary |
Addresses
Primary practice location
400 Prairie View Trail
Fredericksurg, TX 78624
Mailing address
400 Prairie View Trail
Fredericksurg, TX 78624
Phone (830) 456-2449
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 74317 | TX | MD | Professional Counselor |
| 33182 | TX | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1225568546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 PRAIRIE VIEW TRAIL",
"city": "FREDERICKSURG",
"state": "TX",
"postal_code": "78624",
"telephone_number": "830-456-2449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 PRAIRIE VIEW TRAIL",
"city": "FREDERICKSURG",
"state": "TX",
"postal_code": "78624",
"telephone_number": "830-456-2449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICKERHAUSER",
"first_name": "DAVID",
"middle_name": "RONALD",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-19",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "TX",
"license": "33182",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "74317",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.