Abigail Johanna Rickert, LPC

Key facts

NPI

1497439442

Entity type

Individual (NPI type 1)

Primary specialty

Professional Counselor 101YP2500X

License

10036-125 (WI)

Practice address

11 S Main St
Mayville, WI 53050-1641

Phone

(920) 351-4530

NPI assigned

Jun 12, 2023

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Interoperability endpoints

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

Specialties & licenses

Addresses

Other names

• Abigail Johanna Soerens Former name

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 30, 2023.

{
    "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": "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"
        },
        {
            "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"
        }
    ],
    "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"
        }
    ]
}

Other providers in Mayville, WI

• 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

All providers in Mayville, WI · Professional Counselor in Wisconsin