Active NPI
Jonathan Ryan Ricks, PHD, MA, LCMHC, NCC
- Professional Counselor
- Norlina, NC
National Provider Identifier
1386919231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 9308
- Practice address
- 238 Hawks Rd
Norlina, NC 27563-9794 - Phone
- (252) 456-4906
- NPI assigned
- Mar 11, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 9307 | NC | |
| Professional Counselor | 101YP2500X | 9308 | NC | Primary |
Addresses
Primary practice location
238 Hawks Rd
Norlina, NC 27563-9794
Mailing address
238 Hawks Rd
Norlina, NC 27563-9794
Phone (252) 203-1317
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
- Master of Arts, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9307 | NC | MD | Mental Health Counselor |
| 9308 | NC | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684368000000",
"number": "1386919231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "238 HAWKS RD",
"city": "NORLINA",
"state": "NC",
"postal_code": "275639794",
"telephone_number": "252-203-1317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "238 HAWKS RD",
"city": "NORLINA",
"state": "NC",
"postal_code": "275639794",
"telephone_number": "252-456-4906"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICKS",
"first_name": "JONATHAN",
"middle_name": "RYAN",
"name_prefix": "Dr.",
"credential": "PHD, MA, LCMHC, NCC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-03-11",
"last_updated": "2023-05-18",
"certification_date": "2023-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "9307",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "9308",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norlina, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.