Provider Demographics
NPI:1871820431
Name:SCHMIDT, RICCI L (MA, NCC)
Entity Type:Individual
Prefix:
First Name:RICCI
Middle Name:L
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:MA, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4380 S MONACO ST
Mailing Address - Street 2:#3112
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-3490
Mailing Address - Country:US
Mailing Address - Phone:720-219-4834
Mailing Address - Fax:
Practice Address - Street 1:121 S MADISON ST
Practice Address - Street 2:SUITE B
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80209-3031
Practice Address - Country:US
Practice Address - Phone:720-219-4834
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-03
Last Update Date:2009-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health