Mica Nicole Rickman, MA,EDS

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1772 Issued in MS

Practice address

401 New Hope Dr
Corinth, MS 38834-7458

Phone

(662) 286-7199

Fax

(662) 286-8908

NPI assigned

Oct 27, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Region IV Chemical Dependency Complex

  • Substance Abuse Rehabilitation Facility
  • Corinth, MS
  • NPI 1982980850
  NPD (past)
• Region IV Desoto County Pharmacy

  • Community/Retail Pharmacy
  • Hernando, MS
  • NPI 1689915423
  NPD (past)

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

{
    "created_epoch": "1288137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379462400000",
    "number": "1881994572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 NEW HOPE DR",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388347458",
            "telephone_number": "662-286-7199",
            "fax_number": "662-286-8908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 NEW HOPE DR",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388347458",
            "telephone_number": "662-286-7199",
            "fax_number": "662-286-8908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICKMAN",
        "first_name": "MICA",
        "middle_name": "NICOLE",
        "credential": "MA,EDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-27",
        "last_updated": "2013-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "2760",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "2654",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "1772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cathita Richardson
• Khadijah Richardson
• Oneka Y. Richardson, M.D.
• Rick Quinn
• Rick Quinn
• Dylan Rider
• Helen Rider, MS
• Ivy Robbins
• Mary Robbins, M.S., CCC-SLP
• Robert Darrin Hurst DPM West Tennessee Foot Clinic

• All providers in Corinth, MS
• Professional Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2013; 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.