Organization Active NPI

Deborah Ricahrdson PC

  • Mental Health Counselor
  • Raleigh, NC
National Provider Identifier
1053478917
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2950 Issued in NC
Legal business name
DEBORAH RICAHRDSON PC
Practice address
6030 Creedmoor Rd
Suite 200
Raleigh, NC 27612-2327
Phone
(919) 810-9140
Fax
(919) 788-9887
NPI assigned
Jan 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Deborah M Richardson, LPC
Title
President
Phone
(919) 810-9140

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 2950 NC Primary

Addresses

Primary practice location

6030 Creedmoor Rd
Suite 200
Raleigh, NC 27612-2327

Mailing address

6030 Creedmoor Rd
Suite 200
Raleigh, NC 27612-2327
Phone (919) 810-9140

Other identifiers 1

IdentifierTypeStateIssuer
6102784MedicaidNC

National Provider Directory

National Provider Directory

Locations

6030 Creedmoor Rd
Ste 200
Raleigh, NC 27612
Phone (919) 810-9140

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053478917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6030 CREEDMOOR RD",
            "address_2": "SUITE 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276122327",
            "telephone_number": "919-810-9140",
            "fax_number": "919-788-9887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6030 CREEDMOOR RD",
            "address_2": "SUITE 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276122327",
            "telephone_number": "919-810-9140",
            "fax_number": "919-788-9887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBORAH RICAHRDSON PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-810-9140",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "2950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6102784",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.