MARY BETH RIDDERMAN – Mental Health Counselor, NPI 1528691938

MARY BETH RIDDERMAN is a healthcare provider. based in Sarasota, Florida. specializing in MENTAL HEALTH COUNSELOR. The NPI Number for MARY BETH RIDDERMAN is 1528691938

Main info

Female
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
MARY BETH RIDDERMAN
NPI
1528691938
Phone
Not provided
Address
417 COMMERCIAL CT STE C
Enumeration Date
14 February 2020
Last Update Date
14 February 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8502531923
Graduation Year
2014 (12 years ago)
PAC ID
2668822255
Group Practice PAC ID
2860474111
Professional Enrollment ID
I20231222000201
Address ID
FL323401400MA224XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience27
Completeness75
Years active:6State licenses:0Digital endpointsOther names

3,018 MENTAL HEALTH COUNSELOR in FL

Provider Addresses for MARY BETH RIDDERMAN

  • 417 COMMERCIAL CT STE C

    SARASOTA, FL 34292

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-07-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231222000201IMental Health CounselorFLTBD
I20240709001662IMental Health CounselorGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34292)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2860474111View full group profile
NameSpecialtyState
Nurse PractitionerFL
Family PracticeFL
Nurse PractitionerFL
General SurgeryFL
Diagnostic RadiologyFL
Nurse PractitionerFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

What identifier follows MARY BETH RIDDERMAN across health systems?
The NPI 1528691938 uniquely identifies MARY BETH RIDDERMAN in U.S. healthcare data.
Should I treat MARY BETH RIDDERMAN as an active provider?
Patients and plans typically see MARY BETH RIDDERMAN as active in the national extract.
What type of care does MARY BETH RIDDERMAN provide?
MARY BETH RIDDERMAN's profile centers on Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Is MARY BETH RIDDERMAN tied to Sarasota, Florida?
If you are local to Sarasota, Florida, MARY BETH RIDDERMAN may be relevant to your search.
Can I export MARY BETH RIDDERMAN's record?
You can download the official NPPES record; we summarize key fields for readability.

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