Individual provider Active NPI

Lisa Rickards, LPCC

  • Professional Counselor
  • Newark, OH
National Provider Identifier
1588199228
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E1901245 Issued in OH
Practice address
14 Sandalwood Dr
Newark, OH 43055-9233
Phone
(740) 788-8850
Fax
(740) 788-8851
NPI assigned
May 1, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C.0006707 OH
Professional Counselor 101YP2500X E1901245 OH Primary

Addresses

Primary practice location

14 Sandalwood Dr
Newark, OH 43055-9233

Mailing address

14 Sandalwood Dr
Newark, OH 43055-9233
Phone (740) 788-8850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20241205003934 OH Practitioner - Mental Health Counselor 3072049683 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Village NetworkGroup PAC ID 6901049089, 10 clinicians

Practice addresses (Care Compare)

14 Sandalwood Dr
Newark, OH 43055-9233
Phone (740) 788-8850

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C.0006707OHMDMental Health Counselor
E1901245OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Village Network CurrentSince Sep 27, 2024 Accepting new patients

Locations

411 Wolf Ledges Pkwy
Ste 303
Akron, OH 44311

14 Sandalwood Dr
Newark, OH 43055
Phone (740) 788-8850

3011 Akron Rd
Wooster, OH 44691
Phone (330) 202-3875

2000 Noble Dr
Wooster, OH 44691
Phone (330) 439-8492

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": "1493596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1588199228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 SANDALWOOD DR",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430559233",
            "telephone_number": "740-788-8850",
            "fax_number": "740-788-8851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 SANDALWOOD DR",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430559233",
            "telephone_number": "740-788-8850",
            "fax_number": "740-788-8851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICKARDS",
        "first_name": "LISA",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-01",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.0006707",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E1901245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, OH

Sources for this page

Verify at the official NPI Registry.