Individual provider Active NPI

Ronnie Ibrahim Rizek, LCMHC-A

  • Mental Health Counselor
  • Garner, NC
National Provider Identifier
1306469945
Registry record updated May 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A15678 Issued in NC
Practice address
100 Professional CT
Garner, NC 27529-7971
Phone
(919) 706-5004
NPI assigned
May 18, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A15678 NC Primary

Addresses

Primary practice location

100 Professional CT
Garner, NC 27529-7971

Mailing address

120 Chandler Dr Apt H
Greenville, NC 27834-6078
Phone (716) 201-6613

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

LicenseStateTypeSpecialty
A15678NCMDMental Health Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1589760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589760000000",
    "number": "1306469945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 CHANDLER DR APT H",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278346078",
            "telephone_number": "716-201-6613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PROFESSIONAL CT",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275297971",
            "telephone_number": "919-706-5004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIZEK",
        "first_name": "RONNIE",
        "middle_name": "IBRAHIM",
        "credential": "LCMHC-A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-18",
        "last_updated": "2020-05-18",
        "certification_date": "2020-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A15678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garner, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.