Active NPI
Rita Ryan Dykstra, LPC
- Professional Counselor
- Fort Collins, CO
National Provider Identifier
1508182122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4959
- Practice address
- 1136 East Stuart Street
Building 2, Suite 2240
Fort Collins, CO 80525 - Phone
- (970) 391-0200
- Fax
- (970) 226-5032
- NPI assigned
- Apr 8, 2010
- Last updated
- Apr 8, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 4959 | CO | Primary |
Addresses
Primary practice location
1136 East Stuart Street
Building 2, Suite 2240
Fort Collins, CO 80525
Mailing address
1136 East Stuart Street
Building 2, Suite 2240
Fort, CO 80525
Phone (970) 391-0200
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4959 | CO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270684800000",
"number": "1508182122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1136 EAST STUART STREET",
"address_2": "BUILDING 2, SUITE 2240",
"city": "FORT",
"state": "CO",
"postal_code": "80525",
"telephone_number": "970-391-0200",
"fax_number": "970-226-5032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1136 EAST STUART STREET",
"address_2": "BUILDING 2, SUITE 2240",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "80525",
"telephone_number": "970-391-0200",
"fax_number": "970-226-5032"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DYKSTRA",
"first_name": "RITA",
"middle_name": "RYAN",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-04-08",
"last_updated": "2010-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "4959",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.