MR. RICKY A PERSON SR. CSAC. ICS
NPI 1144651159
Counselor - Addiction (Substance Use Disorder) in Mount Pleasant, WI

Active since December 02, 2013
4810 NORTHWESTERN AVE, MOUNT PLEASANT, WI 53406(262) 583-2714 Get Directions Write a Review

NPPES record last updated: July 10, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Ricky A Person Sr. Csac. Ics NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. RICKY A PERSON SR. CSAC. ICS (NPI 1144651159) is an individual addiction (substance use disorder) provider in Mount Pleasant, Wisconsin, licensed in Wisconsin (11919-134) and active in the NPI registry since December 2013. He maintains a secondary practice location in Racine.

NPPES Registry Identity

NPI1144651159
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. RICKY A PERSON SR.Credential: CSAC. ICS
Location Address4810 NORTHWESTERN AVEMount Pleasant, WI 53406
Mailing Address4810 Northwestern Ave # 100Mount Pleasant, WI 53406-1504
Sole ProprietorNo
Enumeration DateDecember 2, 2013
Last NPPES UpdateJuly 10, 2018
NPI 1144651159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in WI · 11919-134
4810 NORTHWESTERN AVE, Mount Pleasant, WI 53406

Secondary Practice Location 1

Location 12405 Northwestern Ave, Suite LL15Racine, WI 53404-2534 · Phone (262) 260-8370

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
4810 NORTHWESTERN AVE
RACINE, WI 53406
Social Worker (Clinical)
4810 NORTHWESTERN AVE
RACINE, WI 53406
Social Worker (Clinical)
4810 NORTHWESTERN AVE
RACINE, WI 53406
Psychiatry & Neurology (Psychiatry)
4810 NORTHWESTERN AVE
RACINE, WI 53406
Social Worker (Clinical)
4810 NORTHWESTERN AVE
MOUNT PLEASANT, WI 53406
Social Worker (Clinical)
4810 NORTHWESTERN AVE
RACINE, WI 53406
Counselor (Addiction (Substance Use Disorder))
4810 NORTHWESTERN AVE
MOUNT PLEASANT, WI 53406
Social Worker
4810 NORTHWESTERN AVE
MOUNT PLEASANT, WI 53406

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144651159, enumerated as an "individual" on December 02, 2013.

The provider is located at 4810 NORTHWESTERN AVE MOUNT PLEASANT, WI 53406 and the phone number is (262) 583-2714.

Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).