Active NPI
Mary A Ricketson, MA ED
- Professional Counselor
- Murphy, NC
National Provider Identifier
1689898942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 524
- Practice address
- 225 Valley River Ave
Murphy, NC 28906-2988 - Phone
- (828) 837-4107
- NPI assigned
- Apr 11, 2007
- 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 | 524 | NC | Primary |
Addresses
Primary practice location
225 Valley River Ave
Murphy, NC 28906-2988
Mailing address
PO Box 742
Murphy, NC 28906-0742
Phone (828) 837-4107
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6102373 | Medicaid | NC | |
| CO374 | Other | NC | MEDCOST |
| 71661 | Other | NC | BCBS |
| 71661 | Other | NC | STATE EMPLOYEES |
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
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689898942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 742",
"city": "MURPHY",
"state": "NC",
"postal_code": "289060742",
"telephone_number": "828-837-4107",
"fax_number": "828-837-1980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 VALLEY RIVER AVE",
"city": "MURPHY",
"state": "NC",
"postal_code": "289062988",
"telephone_number": "828-837-4107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICKETSON",
"first_name": "MARY",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "MA ED",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "524",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6102373",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "CO374",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "71661",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE EMPLOYEES",
"identifier": "71661",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Murphy, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.