1548408198 NPI number — RITZMAN COUNSELING SERVICES, INC.

Table of content: (NPI 1548408198)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1548408198 NPI number — RITZMAN COUNSELING SERVICES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RITZMAN COUNSELING SERVICES, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1548408198
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/15/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1601 E 69TH ST
Provider Second Line Business Mailing Address:
STE 202
Provider Business Mailing Address City Name:
SIOUX FALLS
Provider Business Mailing Address State Name:
SD
Provider Business Mailing Address Postal Code:
57108-8321
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
605-274-1574
Provider Business Mailing Address Fax Number:
605-271-1395

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1601 E 69TH ST
Provider Second Line Business Practice Location Address:
STE 202
Provider Business Practice Location Address City Name:
SIOUX FALLS
Provider Business Practice Location Address State Name:
SD
Provider Business Practice Location Address Postal Code:
57108-8321
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
605-274-1574
Provider Business Practice Location Address Fax Number:
605-271-1395
Provider Enumeration Date:
02/04/2009

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
RITZMAN
Authorized Official First Name:
KELLY
Authorized Official Middle Name:
Authorized Official Title or Position:
SOLE PROPRIETOR
Authorized Official Telephone Number:
605-274-1574

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X , with the licence number:  LPC-MH2175 , registered in the state of SD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: RPT-1150 . This is a "ASSOCIATION FOR PLAY THERAPY" identifier . This identifiers is of the category "OTHER".
  • Identifier: 6576590 , issued by the state of ( SD ) . This identifiers is of the category "MEDICAID".
  • Identifier: LPC-MH2175 . This is a "SD BOARD OF EXAMINERS FOR COUNSELING AND MFTS" identifier , issued by the state of ( SD ) . This identifiers is of the category "OTHER".