EMAJAE RICKETTS LPC
NPI 1730739293
Counselor - Professional in West Haven, CT
About Emajae Ricketts Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EMAJAE RICKETTS LPC (NPI 1730739293) is an individual professional provider in West Haven, Connecticut, licensed in Connecticut (3839) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Emajae Ricketts Lpc 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.
Medicare Billing Reassignments
2Medicare enrollment records show Emajae Ricketts reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
West Haven, CT 06516
- Reassigned Medicare billing, Connecticut enrollment
- 25 clinicians in this Medicare group
West Haven, CT 06516
- Reassigned Medicare billing, Connecticut enrollment
- 25 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
WEST HAVEN, CT 06516
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 Emajae Ricketts's NPI number?
The NPI number for Emajae Ricketts is 1730739293. It was assigned to this individual provider in the NPPES registry on September 17, 2019.
Where is Emajae Ricketts located?
Emajae Ricketts practices at 415 Main St, West Haven, CT 06516. The listed phone number is (203) 931-1184.
What is Emajae Ricketts's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Emajae Ricketts enrolled in Medicare?
Yes. Emajae Ricketts 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.
Which organizations bill Medicare for Emajae Ricketts's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Emajae Ricketts reassigns Medicare benefits to 2 organizations: Shoreline Wellness Behavioral Health Outreach Inc (West Haven, CT) and Shoreline Wellness Center, LLC. (West Haven, CT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Emajae Ricketts's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Emajae Ricketts was last updated on September 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Emajae Ricketts, LPC · NPI 1730739293
Professional provider in West Haven, Connecticut. Individual provider, active in the CMS NPPES registry since September 17, 2019.
## Identity
- **NPI:** 1730739293 (Entity type: Individual)
- **Enumerated:** September 17, 2019
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 3839 (Connecticut)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 415 MAIN ST, West Haven, CT 06516-4296
- **Phone:** (203) 931-1184
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Shoreline Wellness Behavioral Health Outreach Inc (NPI 1144723305, West Haven, CT); Shoreline Wellness Center, LLC. (NPI 1609177815, West Haven, CT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** September 17, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1730739293) · Data from the CMS NPPES public registry.