MEDICARE: MR. RICHARD ARTHUR RITTMASTER LPCC

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	803	MN

General Provider Information

NPI Number	:	1023385234
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. RICHARD ARTHUR RITTMASTER LPCC

Provider Business Mailing Address
First Line	:	16315 ICE CIRCLE DR
Second Line	:
City	:	WAYZATA
State	:	MN
Zip	:	55391-2323
Country	:	US
Telephone Number	:	612-201-1919
Fax Number	:	651-628-0411

Provider Business Practice Location Address
First Line	:	6640 SHADY OAK RD STE 451
Second Line	:
City	:	EDEN PRAIRIE
State	:	MN
Zip	:	55344-7834
Country	:	US
Telephone Number	:	952-746-2522
Fax Number	:	952-746-0887

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

Provider Enumeration Date	:	11/17/2011
Last Update Date	:	08/06/2025

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