P Praxis·MD
● Active Type 1 · Individual

Tina Maria Ricks, LMSW

Counselor·Idaho Falls, ID· NPI 1487091120 · Enumerated 2013 · 12 years on NPI
Ricks is 1 of 138 counselor providers in Idaho Falls and 1 of 1998 in Idaho.
NPI age
12 years
Enumerated 2013-06-03
Primary specialty
Counselor
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2019-01-09
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1998 active counselor providers in Idaho.

NPI age
12 years
↑ 5 yr above median (7 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
21% of peers hold subspecialties

NPI lifetime · 2013 → 2026

2013-06Enumerated in NPPES
2013 2026

Where they practice

Practice location
2275 W Broadway St Ste G
Idaho Falls, ID 83402
📞 2085247400
Mailing address
2275 W Broadway St Ste G
Idaho Falls, ID 834022902
📞 2085247400

Additional practice locations

1 secondary location on file with NPPES.

Location 2
1970 E 17th St, Suite 202
Idaho Falls, ID 834048014
📞 2085235319 x103fax 2085235627

Specialties

  • Counselor Primary
    Definition to come...
    ID license #LMSW-32947 taxonomy 101YM0800X

Practice context

Part of a multi-provider practice. 24 other active providers share this practice address in NPPES.

Recently enumerated nearby: 3 new counselor providers have been added in Idaho Falls in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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