Active NPI
David Neale Ridinger, L.P.C.
- Professional Counselor
- Longmont, CO
National Provider Identifier
1508896101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3795
- Practice address
- 1400 Spencer St
Longmont, CO 80501-2413 - Phone
- (303) 246-1760
- NPI assigned
- Jul 3, 2006
- Sex
- Male
- 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 | 3795 | CO | Primary |
Addresses
Primary practice location
1400 Spencer St
Longmont, CO 80501-2413
Mailing address
1400 Spencer St
Longmont, CO 80501-2413
Phone (303) 246-1760
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 673508 | Other | CO | ANTHEM BEHAVIORAL |
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 |
|---|---|---|---|
| 3795 | CO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203120000000",
"number": "1508896101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 SPENCER ST",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805012413",
"telephone_number": "303-246-1760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 SPENCER ST",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805012413",
"telephone_number": "303-246-1760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIDINGER",
"first_name": "DAVID",
"middle_name": "NEALE",
"name_prefix": "Mr.",
"credential": "L.P.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2008-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "3795",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BEHAVIORAL",
"identifier": "673508",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Longmont, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.