Active NPI
Percy Ricketts, Ms, LMHC, PA
- Mental Health Counselor
- Pembroke Pines, FL
National Provider Identifier
1649544487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH6153
- Legal business name
- PERCY RICKETTS, MS, LMHC, PA
- Practice address
- 10031 Pines Blvd Ste 242
Pembroke Pines, FL 33024-6180 - Phone
- (954) 438-5661
- Fax
- (954) 333-7694
- NPI assigned
- Feb 24, 2012
- Organization subpart
- Yes
- Parent organization
- PERCY RICKETTS, MS, LMHC, PA
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Percival George Ricketts, EDD, LMHC
- Title
- Psychotherapist
- Phone
- (954) 438-5661
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH6153 | FL | Primary |
Addresses
Primary practice location
10031 Pines Blvd Ste 242
Pembroke Pines, FL 33024-6180
Mailing address
10031 Pines Blvd Ste 242
Pembroke Pines, FL 33024-6180
Phone (954) 438-5661
Other names 1
- COUNSELING & EMPOWERMENT CONSULTING GROUP
National Provider Directory
National Provider Directory- Part of
- Percy Ricketts Ms LMHC PA
Locations
10031 Pines Blvd
Ste 242
Pembroke Pines, FL 33024
Phone (954) 438-5661
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Pembroke Pines, FL
- NPI 1053397471
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330041600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1330041600000",
"number": "1649544487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10031 PINES BLVD STE 242",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330246180",
"telephone_number": "954-438-5661",
"fax_number": "954-333-7694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10031 PINES BLVD STE 242",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330246180",
"telephone_number": "954-438-5661",
"fax_number": "954-333-7694"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PERCY RICKETTS, MS, LMHC, PA",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PERCY RICKETTS, MS, LMHC, PA",
"enumeration_date": "2012-02-24",
"last_updated": "2012-02-24",
"status": "A",
"authorized_official_last_name": "RICKETTS",
"authorized_official_first_name": "PERCIVAL",
"authorized_official_middle_name": "GEORGE",
"authorized_official_title_or_position": "PSYCHOTHERAPIST",
"authorized_official_telephone_number": "954-438-5661",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "EDD, LMHC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH6153",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "COUNSELING & EMPOWERMENT CONSULTING GROUP",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.