Cassandra Lynn Richardson

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401011793 Issued in MI

Practice address

17200 W 10 Mile Rd
Suite 113
Southfield, MI 48075-2928

Phone

(248) 443-1940

Fax

(586) 757-8386

NPI assigned

Jan 23, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

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, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1264204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272931200000",
    "number": "1073844544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13034 CHAMPAIGN AVE",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480891348",
            "telephone_number": "586-944-3798",
            "fax_number": "586-757-8386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17200 W 10 MILE RD",
            "address_2": "SUITE 113",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752928",
            "telephone_number": "248-443-1940",
            "fax_number": "586-757-8386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "CASSANDRA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-23",
        "last_updated": "2010-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401011793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CATHOLIC SOCIAL SERVICES OF OAKLAND COUNTY",
            "identifier": "630255",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Boyd Richards, DO
• Caitlin Richards
• Nancy L Richards, CRNA
• Richardson Medical Pharmacy, Inc.
• Carmela Altamses Richardson, LLMSW,LPN
• Dionne Richardson, BS CM MSW
• Elizabeth Richardson
• Eric James Richardson, D.D.S., M.S.
• Evonne Renee Richardson, FNP-C
• Kymberlee Richardson

• Professional Counselor in Southfield, MI
• Providers in Southfield, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2010; 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.