Michelle Richardson, MS

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

10294-125 Issued in WI

Practice address

312 W Knapp St Ste B
Rice Lake, WI 54868-1631

Phone

(715) 836-0064

Fax

(715) 836-0065

NPI assigned

Mar 24, 2016

Sex

Female

Sole proprietor

No

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 WI

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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Caillier Clinic LTDGroup PAC ID 7416904784, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Caillier Clinic LTD

  • Clinical Neuropsychologist
  • Eau Claire, WI
  • NPI 1659453058

  Addiction (Substance Use Disorder), WI

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1458777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1124480504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 STEIN BLVD STE B",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547012674",
            "telephone_number": "715-836-0064",
            "fax_number": "715-836-0065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 W KNAPP ST STE B",
            "city": "RICE LAKE",
            "state": "WI",
            "postal_code": "548681631",
            "telephone_number": "715-836-0064",
            "fax_number": "715-836-0065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "MICHELLE",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-24",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "16271-132",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "10294-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003150004",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rice Lake Operations LLC
• Rice Lake Physical Therapy and Rehab Specialists
• Rice Lake Rehabilitation and Care Center LLC
• Rice Lake Rehabilitation and Nursing Center LLC
• Martin Paul Richard, MD
• Stefanie Rinehardt, CRNA
• Kevin D Roberts, DPM
• Randall Roseen, PT
• Christy Rosenbauer, COTA
• Alexandria Rowe, DC

• All providers in Rice Lake, WI
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; 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.