Individual provider Active NPI

Eric Richardson, LMFT

  • Marriage & Family Therapist
  • Dothan, AL
National Provider Identifier
1063176782
Registry record updated Oct 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
L562 Issued in AL
Practice address
1909 Montgomery Hwy Ste 316
Dothan, AL 36303-3220
Phone
(334) 245-3529
NPI assigned
Oct 28, 2021
Last updated
Oct 28, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X L562 AL Primary

Addresses

Primary practice location

1909 Montgomery Hwy Ste 316
Dothan, AL 36303-3220

Mailing address

1909 Montgomery Hwy Ste 316
Dothan, AL 36303-3220
Phone (334) 245-3529

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
L562ALMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Oakleaf Marriage & Family Therapy Marriage & Family Therapist CurrentSince May 28, 2023 Accepting new patients

Locations

1909 Montgomery Hwy
Ste 316
Dothan, AL 36303
Phone (334) 245-3529

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1635379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635379200000",
    "number": "1063176782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 MONTGOMERY HWY STE 316",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363033220",
            "telephone_number": "334-245-3529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 MONTGOMERY HWY STE 316",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363033220",
            "telephone_number": "334-245-3529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "ERIC",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-28",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AL",
            "license": "L562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; 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.