Dustin Richardson, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LC7682 Issued in MD

Practice address

1406 Crain Hwy S Ste 104
Glen Burnie, MD 21061-4086

Phone

(410) 766-6624

Fax

(410) 766-0240

NPI assigned

Feb 18, 2017

Last updated

Feb 18, 2017By the provider in NPPES

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

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lotus PsychotherapyGroup PAC ID 5991170581, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lotus Psychotherapy

  • Clinical Social Worker
  • Annapolis, MD
  • NPI 1669076378
  Medicare reassignment Care Compare group NPD
• Native American Lifelines, Inc.

  • Community/Behavioral Health Agency
  • Baltimore, MD
  • NPI 1104105329
  NPD Authorized official
• Native American Lifelines, Inc.

  • Dental Clinic/Center
  • Baltimore, MD
  • NPI 1679863344
  NPD
• Oasis the Mental Health Center, LLC

  dba Oasis Behavioral Health Urgent Care

  • Psychiatry Physician
  • Glen Burnie, MD
  • NPI 1174606057
  NPD
• Greater Baltimore Counseling Center, LLC

  • Clinical Psychologist
  • Glen Burnie, MD
  • NPI 1376616938

  Professional

  NPD (past)
• Oasis the Mental Health Center, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Annapolis, MD
  • NPI 1467309138
  NPD (past)

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

{
    "created_epoch": "1487376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487376000000",
    "number": "1073052445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3643 CHILDRESS TER",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "208662038",
            "telephone_number": "410-938-0636",
            "fax_number": "410-766-0240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 CRAIN HWY S STE 104",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210614086",
            "telephone_number": "410-766-6624",
            "fax_number": "410-766-0240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "DUSTIN",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-18",
        "last_updated": "2017-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC7682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlin Rhodes, LCPC
• Karen Ann Rhodes, CSC-AD
• Katherine Rice
• Kimberly Layton Rice, APRN
• D. Chimene Richa, MD
• Jennifer Lynn Richardson
• Vickey Lynn Richardson, RN, BSN
• Michelle Richwine, CRNP
• David Rickman, MD
• Melissa Rieben, CRNP

• Professional Counselor in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.