Individual provider Active NPI

Chad S Ricks Sr., MA, LPCC

  • Professional Counselor
  • Sharonville, OH
National Provider Identifier
1972043198
Registry record updated Jul 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.2102371 Issued in OH
Practice address
4000 Executive Park Dr Ste 100
Sharonville, OH 45241-2023
Phone
(513) 274-2744
Fax
(513) 978-0144
NPI assigned
Mar 7, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2021

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 C 1300217 OH
Professional Counselor 101YP2500X E.2102371 OH Primary

Addresses

Primary practice location

4000 Executive Park Dr Ste 100
Sharonville, OH 45241-2023

Mailing address

4000 Executive Park Dr Ste 100
Sharonville, OH 45241-2023
Phone (513) 274-2744

Other practice location 1

1251 Nilles Rd Ste 5
Fairfield, OH 45014-7205
Phone (513) 939-0300

Other practice location 2

10296 Springfield Pike
Ste 500
Cincinnati, OH 45215-1193
Phone (513) 942-4555

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
C 1300217OHMDMental Health Counselor
E.2102371OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cincinnati Therapy Works, LLC Mental Health CurrentSince Aug 1, 2021 Accepting new patients
Viaquest Home Health LLC Past Accepting new patients
Viaquest Psychiatric & Behavioral Solutions LLC Past Accepting new patients

Locations

4000 Executive Park Dr
Ste 100
Sharonville, OH 45241
Phone (513) 272-2744

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1488844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627344000000",
    "number": "1972043198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 EXECUTIVE PARK DR STE 100",
            "city": "SHARONVILLE",
            "state": "OH",
            "postal_code": "452412023",
            "telephone_number": "513-274-2744",
            "fax_number": "513-978-0144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 EXECUTIVE PARK DR STE 100",
            "city": "SHARONVILLE",
            "state": "OH",
            "postal_code": "452412023",
            "telephone_number": "513-274-2744",
            "fax_number": "513-978-0144"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1251 Nilles Rd Ste 5",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "OH",
            "postal_code": "450147205",
            "country_code": "US",
            "telephone_number": "513-939-0300",
            "fax_number": "513-939-0310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10296 Springfield Pike",
            "address_2": "STE 500",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452151193",
            "country_code": "US",
            "telephone_number": "513-942-4555",
            "fax_number": "513-326-7355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICKS",
        "first_name": "CHAD",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "MA, LPCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-07",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C 1300217",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.2102371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sharonville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; 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.