MEDICARE: MEAGHAN RICE PSYD, LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	088460	IA
2	101YP2500X	Professional Counselor	C6585	OR
3	101YP2500X	Professional Counselor	LPC012754	GA
4	101YP2500X	Professional Counselor	2031	MS
5	101YP2500X	Professional Counselor	6339	CO

General Provider Information

NPI Number	:	1053681882
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEAGHAN RICE PSYD, LPC

Provider Business Mailing Address
First Line	:	1312 17TH ST STE 730
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80202-1508
Country	:	US
Telephone Number	:	303-903-2850
Fax Number	:

Provider Business Practice Location Address
First Line	:	1312 17TH ST STE 730
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80202-1508
Country	:	US
Telephone Number	:	303-903-2850
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/10/2012
Last Update Date	:	04/15/2025

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