Susan Payne Richardson, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC002578 Issued in GA

Practice address

555 Sun Valley Dr Ste L1
Roswell, GA 30076-5630

Phone

(404) 394-1096

NPI assigned

Jul 15, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Susan P Richardson Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 23, 2024 through Jan 23, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Arbor Cove Therapy LLC

  • Clinical Social Worker
  • Roswell, GA
  • NPI 1720531767
  NPD

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

{
    "created_epoch": "1594771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594771200000",
    "number": "1033727052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 ARLEY CT",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300621072",
            "telephone_number": "404-429-4936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 SUN VALLEY DR STE L1",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765630",
            "telephone_number": "404-394-1096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "SUSAN",
        "middle_name": "PAYNE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-15",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC002578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "RICHARDSON",
            "middle_name": "P",
            "credential": "LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Hannah Campbell Rhinehart, LPMT, MT-BC
• Richard O. Carpenter, M.D., LC
• Richard O. Carpenter, M.D., P.C.
• Kimberly Morgan Richards, DPT
• Matilda Richardson
• Victoria Ricks, MS, BCBA
• Klarysa Eva Riepe, SCHOOL PSYCHOLOGIST
• Linda Rietveld, D.C.
• Jennifer Riley, BCBA
• Lauren Rindner, DC

• Professional Counselor in Roswell, GA
• Providers in Roswell, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.