Rickey Etheridge, LPC
NPI 1861594483 · Professional Counselor · Bryant, AR
Enrolled with Medicare as Practitioner - Mental Health Counselor · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Rickey Etheridge, LPC is a Professional Counselor provider in Bryant, AR (NPI 1861594483).
Provider details
- NPI number
- 1861594483
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- LPC
- Sex
- Male
- Sole proprietor
- Yes
- License
- P0907039 (AR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
15 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Psychiatric Diagnostic Evaluation90791 | 15 | $117 |
Typical Medicare-allowed amounts for these services range $117–$117 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Additional practice locations (1)
- 11501 Huron Ln Ste 5Little Rock, AR 72211-2491Phone: (501) 904-4762Fax: (501) 708-2185
Registry dates
- Enumerated
- 2006-09-03
- Last updated
- 2024-11-20
- Certified
- 2024-11-20
Frequently asked questions
- What is Rickey Etheridge's NPI number?
- Rickey Etheridge's National Provider Identifier (NPI) is 1861594483, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Rickey Etheridge's specialty?
- Rickey Etheridge is listed in the NPPES registry with a primary specialty of Professional Counselor (Behavioral Health & Social Service Providers).
- Where is Rickey Etheridge located?
- Rickey Etheridge's practice location on file with NPPES is 3348 Main St Ste 100, Bryant, AR 72022-5013.
- What is Rickey Etheridge's phone number?
- The practice phone number listed in the NPPES registry for Rickey Etheridge is (501) 443-3824.
- Does Rickey Etheridge accept Medicare?
- Rickey Etheridge is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Rickey Etheridge's NPI active?
- Yes — Rickey Etheridge's NPI (1861594483) is active in the NPPES registry as of the last update on 2024-11-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.