Ashley Megan Retter, BS SAC-IT

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

15819-130 Issued in WI

Practice address

1654 Washington Ave
Racine, WI 53403-2047

Phone

(262) 633-5001

Fax

(262) 633-2928

NPI assigned

Oct 28, 2010

Last updated

Oct 28, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Genesis Behavioral Services, Inc

  • Community/Behavioral Health Agency
  • Racine, WI
  • NPI 1467627992
  NPD (past)

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

{
    "created_epoch": "1288224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288224000000",
    "number": "1417257148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1654 WASHINGTON AVE",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534032047",
            "telephone_number": "262-633-5001",
            "fax_number": "262-633-2928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1654 WASHINGTON AVE",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534032047",
            "telephone_number": "262-633-5001",
            "fax_number": "262-633-2928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RETTER",
        "first_name": "ASHLEY",
        "middle_name": "MEGAN",
        "credential": "BS SAC-IT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-28",
        "last_updated": "2010-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "15819-130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shalini Ravi, MD
• Recovery Medical Transport (Kurt L Kowalski)
• Crystal J Reese
• David Ramon Reesman, D.D.S.
• Emily Manago Reisman, LPN
• RGM Eyecare, LLC
• Kelli Rhymer
• Julie Lynne Rice, MSCCCSLP
• Marjorie J Rich, MSSW, LCSW
• Ridgewood

• Addiction (Substance Use Disorder) Counselor in Racine, WI
• Providers in Racine, WI by specialty
• Addiction (Substance Use Disorder) Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2010; 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.