Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Rita Dyanne Ickert

Individual provider Peer Specialist · NPI 1821796483

Rita Dyanne Ickert is a Peer Specialist in Shelton, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

307 W Cota St
Shelton, WA 98584-2265
Phone: (360) 205-8001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X
Mental Health Counselor Taxonomy 101YM0800X · Licence CAAR.CG.61414172 (WA)

Record details

NPI number1821796483
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 22, 2023
Last updated in NPPESApril 6, 2026
Certification dateApril 6, 2026
Mailing address309 Y St Sw, Tumwater, WA 98501-5263

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