Pedro F Riddell, MSW

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

518 N Chelton Rd Ste 210
Colorado Springs, CO 80909-5256

Phone

(719) 500-6009

Fax

(719) 890-7162

NPI assigned

Jul 7, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Itza Corazon Community Services LLC

  • Counselor
  • Colorado Springs, CO
  • NPI 1942029459
  NPD Authorized official
• Redwood Community Services Inc

  • Community/Behavioral Health Agency
  • Ukiah, CA
  • NPI 1578018131
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1499385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1750803003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5962 MUMFORD DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809258473",
            "telephone_number": "719-500-6009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 N CHELTON RD STE 210",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809095256",
            "telephone_number": "719-500-6009",
            "fax_number": "719-890-7162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDDELL",
        "first_name": "PEDRO",
        "middle_name": "F",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-07",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1750803003",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Lynn Rickman, DNP, CPNP
• Meghan Rickman
• Alexandra Jaye Ricks, MSW
• Jamye N Rico, LPC
• Kenzie Riddell
• Jenna Leigh Ridder, PT, DPT
• Thomas S. Ridder, MD
• Maria Ridderhoff, OTD, OTR
• Andre Riddick
• Amanda Michele Riddle, LMFT

• Counselor in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.