Abigail Johanna Rickert, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

10036-125 Issued in WI

Practice address

11 S Main St
Mayville, WI 53050-1641

Phone

(920) 351-4530

NPI assigned

Jun 12, 2023

Last updated

Aug 30, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Abigail Johanna Soerens Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: abigail.rickert.1@14940.direct.athenahealth.com

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.

• Marathon Health, LLC

  dba Marathon Health, West Bend WI

  • Clinic/Center
  • West Bend, WI
  • NPI 1891690657
  NPD (past)

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

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1497439442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 S MAIN ST",
            "city": "MAYVILLE",
            "state": "WI",
            "postal_code": "530501641",
            "telephone_number": "920-351-4530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 S MAIN ST",
            "city": "MAYVILLE",
            "state": "WI",
            "postal_code": "530501641",
            "telephone_number": "920-351-4530"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "114 N Berger Pkwy Apt I2",
            "address_purpose": "LOCATION",
            "city": "Fond Du Lac",
            "state": "WI",
            "postal_code": "549357917",
            "country_code": "US",
            "telephone_number": "920-263-8372",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "705 Village Green Way Ste 101",
            "address_purpose": "LOCATION",
            "city": "West Bend",
            "state": "WI",
            "postal_code": "530902571",
            "country_code": "US",
            "telephone_number": "920-351-4530",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "215 Corporate Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Beaver Dam",
            "state": "WI",
            "postal_code": "539163124",
            "country_code": "US",
            "telephone_number": "920-351-4530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICKERT",
        "first_name": "ABIGAIL",
        "middle_name": "JOHANNA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-12",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "10036-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABIGAIL",
            "last_name": "SOERENS",
            "middle_name": "JOHANNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennifer Radke, COTA
• Melissa Kay Ramirez, P.T.
• Jonathan Ratzel, CSFA
• Lincoln Reichl
• Sheena Richmond
• John Riegleman, D.C.
• Erica Elaine Rodd, PHARMD
• Alyssa Sayles, RN, BSN
• School District of Mayville
• Colleen Lynn Schultz, OTR

• Professional Counselor in Mayville, WI
• Providers in Mayville, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.

Verify at the official NPI Registry.