TIA RICKETTS
NPI 1336896877
Counselor - Mental Health in Brooklyn, NY
About Tia Ricketts NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TIA RICKETTS (NPI 1336896877) is an individual mental health provider in Brooklyn, New York and active in the NPI registry since March 2022. She has opted out of Medicare through May 22, 2028.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Tia Ricketts has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 22, 2024 through May 22, 2028.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Tia Ricketts's NPI number?
The NPI number for Tia Ricketts is 1336896877. It was assigned to this individual provider in the NPPES registry on March 4, 2022.
Where is Tia Ricketts located?
Tia Ricketts practices at 2579 E 17th St Ste 28, Brooklyn, NY 11235. The listed phone number is (347) 708-0777.
What is Tia Ricketts's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Tia Ricketts enrolled in Medicare?
No. Tia Ricketts has opted out of Medicare through May 22, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Tia Ricketts was last updated on March 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Tia Ricketts · NPI 1336896877
Mental Health provider in Brooklyn, New York. Individual provider, active in the CMS NPPES registry since March 4, 2022.
## Identity
- **NPI:** 1336896877 (Entity type: Individual)
- **Enumerated:** March 4, 2022
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2579 E 17TH ST STE 28, Brooklyn, NY 11235-3515
- **Phone:** (347) 708-0777
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through May 22, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** March 4, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1336896877) · Data from the CMS NPPES public registry.