Individual provider Active NPI

Ricky Lee Lomax, MA

  • Mental Health Counselor
  • Saint Peters, MO
National Provider Identifier
1871516286
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2005028641 Issued in MO
Practice address
1110 Athena Way
Saint Peters, MO 63376-4804
Phone
(636) 233-1396
Fax
(314) 206-3992
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Mental Health Counselor 101YM0800X 2005028641 MO Primary

Addresses

Primary practice location

1110 Athena Way
Saint Peters, MO 63376-4804

Mailing address

1110 Athena Way
Saint Peters, MO 63376-4804
Phone (636) 233-1396

Other practice location 1

3165 McKelvey Rd
Suite 200
Bridgeton, MO 63044-2550
Phone (314) 206-3431

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

State licenses

LicenseStateTypeSpecialty
2005028641MOMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1871516286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 ATHENA WAY",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633764804",
            "telephone_number": "636-233-1396",
            "fax_number": "314-206-3992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 ATHENA WAY",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633764804",
            "telephone_number": "636-233-1396",
            "fax_number": "314-206-3992"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3165 McKelvey Rd",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Bridgeton",
            "state": "MO",
            "postal_code": "630442550",
            "country_code": "US",
            "telephone_number": "314-206-3431",
            "fax_number": "314-206-3992",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOMAX",
        "first_name": "RICKY",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2005028641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Peters, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.