Kevin Richardson

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PRC14986 Issued in DC

Practice address

1530 Wilson Blvd Ste 650
Arlington, VA 22209-2455

Phone

(703) 539-2679

NPI assigned

Oct 25, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Unity Health Care, Inc

  • Federally Qualified Health Center (FQHC)
  • Washington, DC
  • NPI 1801935234
  NPD (past)

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

{
    "created_epoch": "1571961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675382400000",
    "number": "1043853617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 BRICKELL AVE UNIT 2609",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331313772",
            "telephone_number": "703-539-2679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 WILSON BLVD STE 650",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222092455",
            "telephone_number": "703-539-2679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "KEVIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-25",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DC",
            "license": "PRC14986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard D. Gruntz, DDS, P.C.
• Sydney Richards, MGC
• Tanique O. Richards, MD
• Erika Michelle Richardson, LCSW
• Jasmin Jeanette Richardson, PA
• Eliese Richbourg, FNP-C
• Carolyn Richon, PT
• William Richter, M.D.
• Riddhi Desai DMD PLLC
• Nicholas Joseph Ridolfi, P.A.-C.

• Professional Counselor in Arlington, VA
• Providers in Arlington, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.