Active NPI
Melody Joy Richards, MA, LPC
- Counselor
- Plymouth, MN
National Provider Identifier
1104121151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LPC00958
- Practice address
- 13210 45TH Ave North
Plymouth, MN 55442 - Phone
- (612) 616-0224
- Fax
- (612) 616-0224
- NPI assigned
- Jan 24, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LPC00958 | MN | Primary |
Addresses
Primary practice location
13210 45TH Ave North
Plymouth, MN 55442
Mailing address
13210 45TH Ave North
Plymouth, MN 55442
Phone (612) 616-0224
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 26, 2024 through Feb 26, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC00958 | MN | MD | Counselor |
| 484 | MN | MD | Advanced Practice Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295827200000",
"number": "1104121151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13210 45TH AVE NORTH",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "55442",
"telephone_number": "612-616-0224",
"fax_number": "612-616-0224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13210 45TH AVE NORTH",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "55442",
"telephone_number": "612-616-0224",
"fax_number": "612-616-0224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDS",
"first_name": "MELODY",
"middle_name": "JOY",
"name_prefix": "Mrs.",
"credential": "MA, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-24",
"last_updated": "2011-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MN",
"license": "LPC00958",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plymouth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.