Active NPI
Edward H Rico
- Mental Health Counselor
- Corvallis, OR
National Provider Identifier
1780128462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- C5353
- Practice address
- 760 SW Madison Ave Ste 205
Corvallis, OR 97333-4590 - Phone
- (541) 321-0189
- NPI assigned
- Dec 14, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | C5353 | OR | Primary |
| Professional Counselor | 101YP2500X | 3133 | WI |
Addresses
Primary practice location
760 SW Madison Ave Ste 205
Corvallis, OR 97333-4590
Mailing address
63 Thomas St
New Bedford, MA 02740-6544
Phone (831) 419-6191
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 |
|---|---|---|---|
| C5353 | OR | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764374400000",
"number": "1780128462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "63 THOMAS ST",
"city": "NEW BEDFORD",
"state": "MA",
"postal_code": "027406544",
"telephone_number": "831-419-6191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "760 SW MADISON AVE STE 205",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973334590",
"telephone_number": "541-321-0189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICO",
"first_name": "EDWARD",
"middle_name": "H",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-12-14",
"last_updated": "2025-11-29",
"certification_date": "2025-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "C5353",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "3133",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corvallis, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.