Active NPI
Laura Rickard, LPC
- Professional Counselor
- Lorain, OH
National Provider Identifier
1376966291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C-5479
- Practice address
- 2140 E 36TH St
Lorain, OH 44055-2756 - Phone
- (440) 277-4110
- Fax
- (440) 277-4112
- NPI assigned
- Jan 29, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C-5479 | OH | Primary |
Addresses
Primary practice location
2140 E 36TH St
Lorain, OH 44055-2756
Mailing address
2140 E. 36TH Street
Summit Academy
Lorain, OH 44055
Phone (440) 277-4110
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 |
|---|---|---|---|
| C-5479 | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Academy Community School for Alternative Learners | Past | Accepting new patients | |
| Summit Academy Management | Professional | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Local Education Agency (LEA)
- Lorain, OH
- NPI 1699969113
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390953600000",
"number": "1376966291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2140 E. 36TH STREET",
"address_2": "SUMMIT ACADEMY",
"city": "LORAIN",
"state": "OH",
"postal_code": "44055",
"telephone_number": "440-277-4110",
"fax_number": "440-277-4112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2140 E 36TH ST",
"city": "LORAIN",
"state": "OH",
"postal_code": "440552756",
"telephone_number": "440-277-4110",
"fax_number": "440-277-4112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICKARD",
"first_name": "LAURA",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-29",
"last_updated": "2014-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "C-5479",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lorain, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.