Individual provider Active NPI

David Scott Rickman, LPC, LAC

  • Counselor
  • Centennial, CO
National Provider Identifier
1477077675
Registry record updated Nov 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LPC.0017450 Issued in CO
Practice address
8012 S Clayton Cir
Centennial, CO 80122-3480
Phone
(720) 724-7606
NPI assigned
Jul 28, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X ACD.0001357 CO
Counselor 101Y00000X LPC.0017450 CO Primary

Addresses

Primary practice location

8012 S Clayton Cir
Centennial, CO 80122-3480

Mailing address

8012 S Clayton Cir
Centennial, CO 80122-3480
Phone (720) 724-7606

Other identifiers 2

IdentifierTypeStateIssuer
1477077675MedicaidCO
9000179873MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240725004865 CO Practitioner - Mental Health Counselor 0547706525 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8012 S Clayton Cir
Centennial, CO 80122-3480
Phone (720) 724-7606

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ACD.0001357COMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Restored Hope Counseling LLC Counselor CurrentSince Jan 1, 2020 Accepting new patients

Locations

9220 Teddy Ln
Ste 1000E
Lone Tree, CO 80124

Organizations & group practices 1

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": "1501200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637020800000",
    "number": "1477077675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8012 S CLAYTON CIR",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801223480",
            "telephone_number": "720-724-7606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8012 S CLAYTON CIR",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801223480",
            "telephone_number": "720-724-7606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICKMAN",
        "first_name": "DAVID",
        "middle_name": "SCOTT",
        "credential": "LPC, LAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-28",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CO",
            "license": "ACD.0001357",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CO",
            "license": "LPC.0017450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1477077675",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000179873",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

Verify at the official NPI Registry.