Organization Active NPI

Jeff C. Richardson, Lac LLC

  • Addiction (Substance Use Disorder) Counselor
  • Wolf Point, MT
National Provider Identifier
1124584578
Registry record updated Feb 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
JEFF C. RICHARDSON, LAC LLC
Practice address
127 E Front St
Wolf Point, MT 59201-1402
Phone
(406) 653-2212
Fax
(406) 653-2112
NPI assigned
Feb 11, 2019
Last updated
Feb 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2019

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

Authorized official

Name
Mr. Jeff Charles Richardson
Title
Licensed Addiction Counselor
Phone
(406) 783-7060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X Primary

Addresses

Primary practice location

127 E Front St
Wolf Point, MT 59201-1402

Mailing address

127 E Front St
Wolf Point, MT 59201-1402
Phone (406) 653-2212

National Provider Directory

National Provider Directory

Locations

127 E Front St
Wolf Point, MT 59201
Phone (406) 653-2212

NPI Registry JSON

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

{
    "created_epoch": "1549843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549843200000",
    "number": "1124584578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 E FRONT ST",
            "city": "WOLF POINT",
            "state": "MT",
            "postal_code": "592011402",
            "telephone_number": "406-653-2212",
            "fax_number": "406-653-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 E FRONT ST",
            "city": "WOLF POINT",
            "state": "MT",
            "postal_code": "592011402",
            "telephone_number": "406-653-2212",
            "fax_number": "406-653-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFF C. RICHARDSON, LAC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-11",
        "last_updated": "2019-02-11",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "JEFF",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "LICENSED ADDICTION COUNSELOR",
        "authorized_official_telephone_number": "406-783-7060",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wolf Point, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.