Samantha I Richardson, LPC-MHSP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

4179 Issued in TN

Practice address

52 Timber Creek Dr Ste 203
Cordova, TN 38018-4388

Phone

(662) 832-7165

NPI assigned

Mar 17, 2018

Last updated

Apr 23, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1521244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555977600000",
    "number": "1104329986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 TIMBER CREEK DR STE 101",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380184359",
            "telephone_number": "662-536-6210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 TIMBER CREEK DR STE 203",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380184388",
            "telephone_number": "662-832-7165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "SAMANTHA",
        "middle_name": "I",
        "name_prefix": "Mrs.",
        "credential": "LPC-MHSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-17",
        "last_updated": "2019-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "4179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carma F Rhodes-Gates, APRN,BC
• Marlyna E Rice, LCSW LICENSED CLINIC
• Chanel Lanete Richardson, CCC-SLP
• Porshure Green Richardson, LCSW
• Rochelle Renee Richardson, LMT
• Willie D Richardson Sr.
• Sarah D. Richie, PHD
• Ashley Richmond
• Benjamin Edwin Richter, CPHT
• Kimberly H Rickels, LCSW

• Mental Health Counselor in Cordova, TN
• Providers in Cordova, TN by specialty
• Mental Health Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2019; 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.