TINA MARIA RICKS LMSW
NPI 1487091120
Counselor - Mental Health in Idaho Falls, ID

Active since June 03, 2013PECOS EnrolledAccepts Medicare Assignment
2275 W BROADWAY ST STE G, IDAHO FALLS, ID 83402(208) 524-7400 Get Directions Write a Review

NPPES record last updated: January 9, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tina Maria Ricks Lmsw NPPES

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

TINA MARIA RICKS LMSW (NPI 1487091120) is an individual mental health provider in Idaho Falls, Idaho, licensed in Idaho (LMSW-32947) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS, maintains a secondary practice location in Idaho Falls, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1487091120
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTINA MARIA RICKSCredential: LMSW
Location Address2275 W BROADWAY ST STE GIdaho Falls, ID 83402
Mailing Address2275 W Broadway St Ste GIdaho Falls, ID 83402-2902 · (208) 524-7400
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJune 3, 2013
Last NPPES UpdateJanuary 9, 2019
NPI 1487091120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in ID · LMSW-32947
2275 W BROADWAY ST STE G, Idaho Falls, ID 83402

Secondary Practice Location 1

Location 11970 E 17th St, Suite 202Idaho Falls, ID 83404-8014 · Phone (208) 523-5319 ext. 103 · Fax (208) 523-5627

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Tina Maria Ricks Lmsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1850740051
PECOS Enrollment IDI20231213002646
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
15 services15 patients

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.

Social Worker
2275 W BROADWAY ST STE G
IDAHO FALLS, ID 83402
Social Worker (Clinical)
2275 W BROADWAY ST STE G
IDAHO FALLS, ID 83402
Social Worker (Clinical)
2275 W BROADWAY ST STE G
IDAHO FALLS, ID 83402
Counselor
2275 W BROADWAY ST STE G
IDAHO FALLS, ID 83402
Counselor
2275 W BROADWAY ST STE G
IDAHO FALLS, ID 83402
Counselor (Professional)
2275 W BROADWAY ST STE G
IDAHO FALLS, ID 83402
Social Worker
2275 W BROADWAY ST STE G
IDAHO FALLS, ID 83402
Counselor (Mental Health)
2275 W BROADWAY ST STE G
IDAHO FALLS, ID 83402

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 Tina Ricks's NPI number?

The NPI number for Tina Ricks is 1487091120. It was assigned to this individual provider in the NPPES registry on June 3, 2013.

Where is Tina Ricks located?

Tina Ricks practices at 2275 W Broadway St Ste G, Idaho Falls, ID 83402. The listed phone number is (208) 524-7400.

What is Tina Ricks's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Tina Ricks enrolled in Medicare?

Yes. Tina Ricks is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Tina Ricks accept?

Health plans from PacificSource Health Plans and University of Utah Health Plans list Tina Ricks as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tina Ricks was last updated on January 9, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.