Organization Active NPI

Jennifer Richards LLC

  • Mental Health Counselor
  • Bloomington, IN
National Provider Identifier
1124782479
Registry record updated Oct 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
JENNIFER RICHARDS LLC
Practice address
804 N College Ave Ste 102
Bloomington, IN 47404-3599
Phone
(812) 316-5140
NPI assigned
Oct 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2021

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

Authorized official

Name
Jennifer Richards
Title
Owner
Phone
(812) 316-5140

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

804 N College Ave Ste 102
Bloomington, IN 47404-3599

Mailing address

804 N College Ave Ste 102
Bloomington, IN 47404-3599
Phone (812) 316-5140

National Provider Directory

National Provider Directory

Locations

804 N College Ave
Ste 102
Bloomington, IN 47404
Phone (812) 269-2634

NPI Registry JSON

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

{
    "created_epoch": "1634860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634860800000",
    "number": "1124782479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 N COLLEGE AVE STE 102",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474043599",
            "telephone_number": "812-316-5140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 N COLLEGE AVE STE 102",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474043599",
            "telephone_number": "812-316-5140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER RICHARDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-22",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-316-5140"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2021; 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.