Active NPI
Richard Joseph Stride
- Mental Health Counselor
- Centralia, WA
National Provider Identifier
1114099223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH00003685
- Practice address
- 2428 W Reynolds Ave
Centralia, WA 98531-4554 - Phone
- (360) 330-9044
- Fax
- (360) 736-3139
- NPI assigned
- Nov 14, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LH00003685 | WA | Primary |
Addresses
Primary practice location
2428 W Reynolds Ave
Centralia, WA 98531-4554
Mailing address
2428 W Reynolds Ave
Centralia, WA 98531-4554
Phone (603) 309-0443
Other practice location 1
356 Whitebirch Pl
Wenatchee, WA 98801-2563
Phone (509) 264-4530
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catholic Charities of the Diocese of Yakima | Mental Health | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Mental Health Counselor
- Wenatchee, WA
- NPI 1881666352
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716163200000",
"number": "1114099223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2428 W REYNOLDS AVE",
"city": "CENTRALIA",
"state": "WA",
"postal_code": "985314554",
"telephone_number": "603-309-0443",
"fax_number": "360-736-3139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2428 W REYNOLDS AVE",
"city": "CENTRALIA",
"state": "WA",
"postal_code": "985314554",
"telephone_number": "360-330-9044",
"fax_number": "360-736-3139"
}
],
"practiceLocations": [
{
"address_1": "356 Whitebirch Pl",
"address_purpose": "LOCATION",
"city": "Wenatchee",
"state": "WA",
"postal_code": "988012563",
"country_code": "US",
"telephone_number": "509-264-4530",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STRIDE",
"first_name": "RICHARD",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-14",
"last_updated": "2024-05-20",
"certification_date": "2024-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH00003685",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Centralia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.