Individual provider Active NPI

Imani Ricks

  • Professional Counselor
  • Jacksonville, FL
National Provider Identifier
1386209351
Registry record updated May 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
1725 Oakhurst Ave
Jacksonville, FL 32208-3200
Phone
(904) 765-0665
Fax
(904) 765-0664
NPI assigned
May 6, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

1725 Oakhurst Ave
Jacksonville, FL 32208-3200

Mailing address

1725 Oakhurst Ave
Jacksonville, FL 32208-3200
Phone (904) 765-0665

Other practice location 1

1725 Oakhurst Ave
Jacksonville, FL 32208-3200
Phone (904) 765-0665

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

Practice roles

OrganizationSpecialtyStatusNew patients
Right Path Behavioral Health Services, LLC. Past Accepting new patients
Right Path Behavioral Health Services LLC 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.

NPI Registry JSON

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

{
    "created_epoch": "1557100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557100800000",
    "number": "1386209351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 OAKHURST AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322083200",
            "telephone_number": "904-765-0665",
            "fax_number": "904-765-0664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 OAKHURST AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322083200",
            "telephone_number": "904-765-0665",
            "fax_number": "904-765-0664"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1725 Oakhurst Ave",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322083200",
            "country_code": "US",
            "telephone_number": "904-765-0665",
            "fax_number": "904-765-0664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICKS",
        "first_name": "IMANI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-06",
        "last_updated": "2019-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2019; 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.