1. Home
  2. Directory
  3. Washington
  4. Shelton
  5. Peer Specialist
  6. NPI Profile

RITA DYANNE ICKERT
NPI 1821796483
Peer Specialist in Shelton, WA

Active since February 22, 2023
307 W COTA ST, SHELTON, WA 98584(360) 205-8001 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 6, 2026, Feb 22, 2023 (2 updates tracked since 2023).

About Rita Dyanne Ickert NPPES

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

RITA DYANNE ICKERT (NPI 1821796483) is an individual peer specialist in Shelton, Washington and active in the NPI registry since February 2023.

NPPES Registry Identity

NPI1821796483
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameRITA DYANNE ICKERT
Location Address307 W COTA STShelton, WA 98584-2265
Mailing Address309 Y St SwTumwater, WA 98501-5263 · (360) 205-8001
Phone(360) 205-8001
Sole ProprietorYes
Enumeration DateFebruary 22, 2023
Last NPPES UpdateApril 6, 20262 updates tracked since enumeration
NPPES CertifiedApril 6, 2026
✔ NPI 1821796483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License CAAR.CG.61414172 (WA)
307 W COTA ST, Shelton, WA 98584
Open in Google Maps ↗

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.

ROBERT IRWIN BROWN III CNA
Nurse's Aide
307 W COTA ST
SHELTON, WA 98584
Mason County (503) 348-3767
LYNEAH MACELLA MACIEL RN
Registered Nurse
307 W COTA ST
SHELTON, WA 98584
Mason County (360) 205-8002
WESTON JOSEPH BROUSSARD II
Counselor (Mental Health)
307 W COTA ST
SHELTON, WA 98584
Mason County (360) 205-8002
JENNIFER L WHETSTONE RN
Registered Nurse
307 W COTA ST
SHELTON, WA 98584
Mason County (360) 205-8001
KRYSTEL NYSTED RN
Registered Nurse
307 W COTA ST
SHELTON, WA 98584
Mason County (847) 347-6251
MILONNA CLOSE LMHC
Counselor
307 W COTA ST
SHELTON, WA 98584
Mason County (360) 205-8001
CHELEACE RYDER LPN
Licensed Practical Nurse
307 W COTA ST
SHELTON, WA 98584
Mason County (360) 205-8011
DEVIN RAY ALLEN AAC
Counselor (Mental Health)
307 W COTA ST
SHELTON, WA 98584
Mason County (360) 205-8001

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 Rita Ickert's NPI number?

The NPI number for Rita Ickert is 1821796483. It was assigned to this individual provider in the NPPES registry on February 22, 2023.

Where is Rita Ickert located?

Rita Ickert practices at 307 W Cota St, Shelton, WA 98584. The listed phone number is (360) 205-8001.

What is Rita Ickert's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Rita Ickert was last updated on April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.