Individual provider Active NPI

Eric Ridgway, LCPC, NCC

  • Mental Health Counselor
  • Sandpoint, ID
National Provider Identifier
1972550861
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LCPC 135 Issued in ID
Practice address
2023 Sandpoint West Dr
Sandpoint, ID 83864-7304
Phone
(208) 265-5412
NPI assigned
May 27, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LCPC 135 ID Primary

Addresses

Primary practice location

2023 Sandpoint West Dr
Sandpoint, ID 83864-7304

Mailing address

2023 Sandpoint West Dr
Sandpoint, ID 83864-7304
Phone (208) 265-5412

Medicare participation

Medicare enrollment files
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.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1991
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2023 Sandpoint W Dr
Sandpoint, ID 83864-7304

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCPC 135IDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Human Connection Inc Mental Health CurrentSince Jul 31, 2025 Accepting new patients

Locations

2023 Sandpoint West Dr
Sandpoint, ID 83864
Phone (208) 255-1523

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972550861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2023 SANDPOINT WEST DR",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838647304",
            "telephone_number": "208-265-5412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2023 SANDPOINT WEST DR",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838647304",
            "telephone_number": "208-265-5412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDGWAY",
        "first_name": "ERIC",
        "name_prefix": "Mr.",
        "credential": "LCPC, NCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LCPC 135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandpoint, ID

Sources for this page

Verify at the official NPI Registry.