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Active NPI 1821796483 Individual Practitioner Female Practitioner

Rita Dyanne Ickert

Peer Specialist • Shelton, WA

Professional Overview & Biography Verified Profile Summary

Rita Ickert is a registered healthcare professional specializing in Peer Specialist in Shelton, WA. Practice services are available at 307 W COTA ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

307 W Cota St

Shelton, WA 985842265

Telephone 3602058001
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Shelton, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
11 Specialists

Practicing in Shelton, WA (2660 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-04-06
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

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.

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

State License WA CAAR.CG.61414172

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

39 Associated Practitioners
Jennifer Whetstone , RN

Registered Nurse

NPI 1043074636

Registered Nurse

NPI 1063030310

Licensed Mental Health Counselor

Devin Allen , AAC

Counselor - Mental Health

NPI 1063185783
Damani Thomas

Counselor

NPI 1073143004
Morgan Wood

Counselor - Mental Health

NPI 1083579031
Laciel Porter

Behavior Technician

NPI 1093329898

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location April 06, 2026

Registered at 307 W COTA ST, SHELTON, WA 985842265 (Tel: 3602058001)

📍
Updated Business Mailing Address April 06, 2026

Registered at 309 Y ST SW, TUMWATER, WA 985015263 (Tel: 3602058001)

NPI Profile Active February 22, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location February 22, 2023

Registered at 612 WOODLAND SQUARE LOOP SE STE 401, LACEY, WA 985031070 (Tel: 3607635828)

📍
Updated Business Mailing Address February 22, 2023

Registered at 612 WOODLAND SQUARE LOOP SE STE 401, LACEY, WA 985031070

👤
Provider Name / Credentials Updated February 22, 2023

Recorded as RITA ICKERT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 22, 2023

Peer Specialist

🟢
Initial NPI Registration & Enumeration February 22, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1821796483
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 22, 2023
Last Update: April 06, 2026
Sole Proprietor: Yes

Mailing Address

309 Y St Sw

Tumwater, WA 985015263

Phone: 3602058001

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.