RITA DYANNE ICKERT
NPI 1821796483
Peer Specialist in Shelton, WA
- Individual
- Female
- Peer Specialist
About RITA ICKERT
This page provides the complete NPI Profile along with additional information for Rita Ickert, a provider established in Shelton, Washington with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1821796483 assigned on February 2023. The practitioner's primary taxonomy code is 175T00000X. The provider is registered as an individual and her NPI record was last updated April 2026.
- NPI
- 1821796483 Verify this NPI
- Provider Name
- RITA DYANNE ICKERT
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 307 W COTA ST SHELTON, WA 98584
- Location Phone
- (360) 205-8001
- Mailing Address
- 309 Y ST SW TUMWATER, WA 98501
- Mailing Phone
- (360) 205-8001
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 02-22-2023
- Last Update Date
- 04-06-2026
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Peer Specialist
- Taxonomy Code
- 175T00000X
- Type
- Other Service Providers
- Taxonomy Description
- Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | CAAR.CG.61414172 (WA) |
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
SHELTON, WA 98584
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1821796483, enumerated as an "individual" on February 22, 2023.
The provider is located at 307 W COTA ST SHELTON, WA 98584 and the phone number is (360) 205-8001.
Peer Specialist with taxonomy code 175T00000X.
