Silas Richardson

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

303229 Issued in MN

Practice address

902 E 2ND St Ste 224
Winona, MN 55987-6354

Phone

(507) 474-4140

Fax

(507) 474-4141

NPI assigned

Oct 4, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Athena Counseling Service

  • Community/Behavioral Health Agency
  • Winona, MN
  • NPI 1568824894
  NPD (past)

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

{
    "created_epoch": "1570147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570147200000",
    "number": "1114568763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 E 2ND ST STE 224",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559876354",
            "telephone_number": "507-474-4140",
            "fax_number": "507-474-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 E 2ND ST STE 224",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559876354",
            "telephone_number": "507-474-4140",
            "fax_number": "507-474-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "SILAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-04",
        "last_updated": "2019-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MN",
            "license": "26330",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "303229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Renner
• Patrick D. Reuter, BEHAVIORAL THERAPIST
• Claire Richards
• Nora Virginia Richards, L.M.T.
• Rosalie Grace Richardson
• Molly Jean Richgels
• Vivian R Rider, MD
• McKenna Nicole Rieckhoff
• Wynne Elizabeth Riemenschneider
• Megan Jada Ries, LPC,NCC,MS

• Addiction (Substance Use Disorder) Counselor in Winona, MN
• Providers in Winona, MN by specialty
• Addiction (Substance Use Disorder) Counselor in Minnesota

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