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CHARLES RICKER LPC
NPI 1861151235
Counselor - Professional in Fairfax, VA

Active since December 14, 2021PECOS Enrolled
3919 BLENHEIM BLVD STE 83B, FAIRFAX, VA 22030(571) 354-0999 Get Directions Write a Review

NPPES record last updated: January 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Charles Ricker Lpc NPPES

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

CHARLES RICKER LPC (NPI 1861151235) is an individual professional provider in Fairfax, Virginia, licensed in Virginia (0704014017) and active in the NPI registry since December 2021. He is enrolled in Medicare PECOS and maintains a secondary practice location in Fairfax.

NPPES Registry Identity

NPI1861151235
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameCHARLES RICKERCredential: LPC
Location Address3919 BLENHEIM BLVD STE 83BFairfax, VA 22030-2430
Mailing Address8221 Willow Oaks Corporate DrFairfax, VA 22031-4512
Phone(571) 354-0999
Sole ProprietorNo
Enumeration DateDecember 14, 2021
Last NPPES UpdateJanuary 9, 2024
NPPES CertifiedJanuary 9, 2024
✔ NPI 1861151235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in VA · 0704014017
3919 BLENHEIM BLVD STE 83B, Fairfax, VA 22030
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Secondary Practice Location 1

Location 18221 Willow Oaks Corporate DrFairfax, VA 22031-4512 · Phone (703) 559-3000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles Ricker Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. INGRID P BASURTO
Counselor (Mental Health)
3919 BLENHEIM BLVD STE 83B
FAIRFAX, VA 22030
Fairfax City (571) 559-2181
CAMREY K OCZKOWSKI LGPC, ATR
Counselor (Professional)
3919 BLENHEIM BLVD STE 83B
FAIRFAX, VA 22030
Fairfax City (703) 539-2392
PHILIP DAVID EISEMAN
Psychologist (Clinical)
3919 BLENHEIM BLVD STE 83B
FAIRFAX, VA 22030
Fairfax City (703) 691-5539

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 Charles Ricker's NPI number?

The NPI number for Charles Ricker is 1861151235. It was assigned to this individual provider in the NPPES registry on December 14, 2021.

Where is Charles Ricker located?

Charles Ricker practices at 3919 Blenheim Blvd Ste 83B, Fairfax, VA 22030. The listed phone number is (571) 354-0999.

What is Charles Ricker's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Charles Ricker enrolled in Medicare?

Yes. Charles Ricker is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Charles Ricker was last updated on January 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.