Individual provider Active NPI

Richard Albert Price, CRC

  • Behavior Analyst
  • Champaign, IL
National Provider Identifier
1053809293
Registry record updated Aug 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
7401000355 Issued in MI
Practice address
1924 Melrose Dr Apt C
Champaign, IL 61820-2048
Phone
(440) 465-2125
NPI assigned
Apr 24, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Counselor 225C00000X 00213530 MI
Behavior Analyst 103K00000X 7401000355 MI Primary

Addresses

Primary practice location

1924 Melrose Dr Apt C
Champaign, IL 61820-2048

Mailing address

1924 Melrose Dr Apt C
Champaign, IL 61820-2048
Phone (440) 465-2125

Other practice location 1

3361 36th St SE
Grand Rapids, MI 49512-2809
Phone (616) 942-2522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7401000355MIMDBehavioral Analyst
00213530MIMDRehabilitation Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Network Behavioral Health Services Past Accepting new patients
Hope Network Behavioral Health Services PastSince Oct 24, 2016 Accepting new patients

Organizations & group practices 2

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": "1524528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597017600000",
    "number": "1053809293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1924 MELROSE DR APT C",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618202048",
            "telephone_number": "440-465-2125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1924 MELROSE DR APT C",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618202048",
            "telephone_number": "440-465-2125"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3361 36th St SE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495122809",
            "country_code": "US",
            "telephone_number": "616-942-2522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRICE",
        "first_name": "RICHARD",
        "middle_name": "ALBERT",
        "credential": "CRC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-24",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": "MI",
            "license": "00213530",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MI",
            "license": "7401000355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Champaign, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.