Active NPI
John Rickenbacher, LMHCA
- Professional Counselor
- Port Angeles, WA
National Provider Identifier
1699362079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 61049817
- Practice address
- 403 S Lincoln St Ste 4
Port Angeles, WA 98362-3025 - Phone
- (360) 461-5656
- NPI assigned
- Dec 30, 2020
- Sex
- Male
- Sole proprietor
- No
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 | 61049817 | WA | Primary |
Addresses
Primary practice location
403 S Lincoln St Ste 4
Port Angeles, WA 98362-3025
Mailing address
403 S Lincoln
Ste 4, PMB 7
Port Angeles, WA 98362
Phone (360) 461-5656
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 |
|---|---|---|---|
| 61049817 | WA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609286400000",
"number": "1699362079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "403 S LINCOLN",
"address_2": "STE 4, PMB 7",
"city": "PORT ANGELES",
"state": "WA",
"postal_code": "98362",
"telephone_number": "360-461-5656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 S LINCOLN ST STE 4",
"city": "PORT ANGELES",
"state": "WA",
"postal_code": "983623025",
"telephone_number": "360-461-5656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICKENBACHER",
"first_name": "JOHN",
"credential": "LMHCA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-30",
"last_updated": "2020-12-30",
"certification_date": "2020-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WA",
"license": "61049817",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Angeles, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.