Ms Kelly Anne Ricketts, QMHP is a
Counselor - Mental Health based in Newport, Oregon. Ms Kelly Anne Ricketts is licensed to practice in Oregon (license number 234820) and her current practice location is
51 Sw Lee St, Newport, Oregon. She can be reached at her office (for appointments etc.) via phone at
(541) 574-5960.
NPI number for Ms Kelly Anne Ricketts is 1205117850 and her current mailing address is Po Box 542, Waldport, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1205117850.
Healthcare Provider's Profile
| Full Name | Ms Kelly Anne Ricketts |
|---|
| Gender | Female |
|---|
| Speciality | Counselor - Mental Health |
|---|
| Location | 51 Sw Lee St, Newport, Oregon |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1205117850
- Provider Enumeration Date: 09/08/2011
- Last Update Date: 10/25/2016
Medical Identifiers
Medical identifiers for Ms Kelly Anne Ricketts such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205117850 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | 234820 (Oregon) | Secondary |
| 101YM0800X | Counselor - Mental Health | 234820 (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Kelly Anne Ricketts is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Kelly Anne Ricketts, QMHP
Po Box 542,
Waldport, OR 97394-0542
Ph: () - | Ms Kelly Anne Ricketts, QMHP
51 Sw Lee St,
Newport, OR 97365-3823
Ph: (541) 574-5960 |
Reviews and Comments