Active NPI
Miakita Richardson, LCAS
- Addiction (Substance Use Disorder) Counselor
- Greensboro, NC
National Provider Identifier
1144569294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 3060
- Practice address
- 2303 Sidney Porter Dr
Greensboro, NC 27405-1694 - Phone
- (336) 675-1924
- Fax
- (336) 675-1924
- NPI assigned
- Feb 10, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 3060-A | NC | |
| Social Worker | 104100000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 3060 | NC | Primary |
Addresses
Primary practice location
2303 Sidney Porter Dr
Greensboro, NC 27405-1694
Mailing address
2303 Sidney Porter Dr
Greensboro, NC 27405-1694
Phone (336) 675-1924
Other practice location 1
100 S Marshall St
suite 100
Winston Salem, NC 27101-2843
Phone (336) 723-4130
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3060-A | NC | MD | Addiction (Substance Use Disorder) Counselor |
| 3060 | NC | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1144569294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2303 SIDNEY PORTER DR",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274051694",
"telephone_number": "336-675-1924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2303 SIDNEY PORTER DR",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274051694",
"telephone_number": "336-675-1924",
"fax_number": "336-675-1924"
}
],
"practiceLocations": [
{
"address_1": "100 S Marshall St",
"address_2": "suite 100",
"address_purpose": "LOCATION",
"city": "Winston Salem",
"state": "NC",
"postal_code": "271012843",
"country_code": "US",
"telephone_number": "336-723-4130",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RICHARDSON",
"first_name": "MIAKITA",
"credential": "LCAS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-02-10",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "3060-A",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "3060",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.