Leon Richard

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

R1305340518 Issued in CA

Practice address

2201 Kilson Dr
Santa Ana, CA 92707-2954

Phone

(949) 734-7432

Fax

(949) 734-7433

NPI assigned

Jun 28, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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 and National Provider Directory roles.

• Clean Path Recovery, LLC

  • Substance Abuse Rehabilitation Facility
  • Irvine, CA
  • NPI 1578067625
  NPD (past)

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

{
    "created_epoch": "1498608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1134640352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 KILSON DR",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927072954",
            "telephone_number": "949-734-7432",
            "fax_number": "949-734-7433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 KILSON DR",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927072954",
            "telephone_number": "949-734-7432",
            "fax_number": "949-734-7433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARD",
        "first_name": "LEON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-28",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "R1305340518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "n/a",
            "affiliation": "N",
            "address_1": "2201 Kilson Dr",
            "city": "Santa Ana",
            "state": "CA",
            "country_code": "US",
            "postal_code": "927072954",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kenneth Rich, MD
• Richard a Mandel, DDS Inc
• Richard I. Woods, M.D., Inc.
• Richard Rodriguez MD, Inc.
• Barbara Jean Richard, PT
• Melinda Richard
• Christian Richardson
• Darcy Richardson, BEHAVIOR TECHNICIAN
• Iris Richardson, PH.D.
• Katherine Richardson, RBT

• Addiction (Substance Use Disorder) Counselor in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; 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.