Individual provider Active NPI

Vanessa Richardson

  • Mental Health Counselor
  • Fort Pierce, FL
National Provider Identifier
1003351453
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
SW20800 Issued in FL
Practice address
PO Box 13481
Fort Pierce, FL 34979-3481
Phone
(561) 352-0877
NPI assigned
Dec 21, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X SW20800 FL
Mental Health Counselor 101YM0800X SW20800 FL Primary

Addresses

Primary practice location

PO Box 13481
Fort Pierce, FL 34979-3481

Mailing address

PO Box 13481
Fort Pierce, FL 34979-3481
Phone (561) 352-0877

Other practice location 1

3200 SW 34th Ave Ste 701
Ocala, FL 34474-8443
Phone (772) 492-6394

Other practice location 2

725 N 12th Ave Bldg B
Arcadia, FL 34266-8752
Phone (941) 776-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230224001766 FL Practitioner - Clinical Social Worker 0143693911 Reassigns benefits to 4 organizations
I20250829004509 CA Practitioner - Clinical Social Worker 0143693911 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mood Clinical, P. C.Group PAC ID 4981080769, 107 clinicians
Balanced Wellbeing LLCGroup PAC ID 5193021848, 228 clinicians
A and B Counseling Services LLCGroup PAC ID 6103152269, 73 clinicians

Practice addresses (Care Compare)

18191 Von Karman Ave
Suite 100
Irvine, CA 92612-7103
Phone (619) 639-9730

3200 SW 34TH Ave
Suite 701
Ocala, FL 34474-8443
Phone (877) 779-2429

3356 Laurel Oak St
Fort Lauderdale, FL 33312-6396
Phone (954) 533-2306

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW20800FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
A & B Counseling Services LLC Single Specialty CurrentSince Mar 16, 2023 Accepting new patients
Balanced Wellbeing LLC Clinical CurrentSince May 13, 2024 Accepting new patients
Cotler Healthcare & Development Inc. Single Specialty CurrentSince Jan 6, 2023 Accepting new patients
MCR Health, Inc. CurrentSince May 24, 2024 Accepting new patients
Mood Clinical, P. C. Single Specialty CurrentSince Jun 15, 2025 Accepting new patients
MCR Health, Inc. Single Specialty CurrentSince May 24, 2024 Accepting new patients
Glenn Medical Center, LLC PastSince Jun 15, 2025 Accepting new patients
A & B Counseling LLC PastSince Mar 16, 2023 Accepting new patients

Locations

18191 Von Karman Ave
Ste 100
Irvine, CA 92612
Phone (530) 889-7293

50 California St
Ste 1500
San Francisco, CA 94111
Phone (310) 648-0700

725 N 12th Ave
Bldg B
Arcadia, FL 34266
Phone (863) 494-1242

901 S 62nd Ave
Hollywood, FL 33023
Phone (954) 893-0109

9835 Lake Worth Rd
Ste 16179
Lake Worth, FL 33467

3200 SW 34th Ave
Ste 701
Ocala, FL 34474
Phone (354) 445-1200

2505 SW Martin Hwy
Palm City, FL 34990
Phone (772) 288-0060

12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231

Networks

  • FL HMO
  • FL PPO
  • Freedom Health HMO Network
  • FL HMO C-SNP
  • FL HMO D-SNP

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1482278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1003351453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13481",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349793481",
            "telephone_number": "561-352-0877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 13481",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349793481",
            "telephone_number": "561-352-0877"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3200 SW 34th Ave Ste 701",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344748443",
            "country_code": "US",
            "telephone_number": "772-492-6394",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "725 N 12th Ave Bldg B",
            "address_purpose": "LOCATION",
            "city": "Arcadia",
            "state": "FL",
            "postal_code": "342668752",
            "country_code": "US",
            "telephone_number": "941-776-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "VANESSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-21",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW20800",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "SW20800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

Verify at the official NPI Registry.