Samuel Lee Richardson, M.S.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MI0082 Issued in NV

Practice address

3320 N Buffalo Dr Ste 207
Las Vegas, NV 89129-7411

Phone

(702) 659-4825

NPI assigned

Jun 29, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Las Vegas Therapy

  • Marriage & Family Therapist
  • Las Vegas, NV
  • NPI 1841848116
  NPD
• LDS Family Services

  • Community/Behavioral Health Agency
  • North Las Vegas, NV
  • NPI 1790990349
  NPD (past)

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

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675987200000",
    "number": "1164719084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 N BUFFALO DR STE 207",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891297411",
            "telephone_number": "702-600-6335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 N BUFFALO DR STE 207",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891297411",
            "telephone_number": "702-659-4825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "SAMUEL",
        "middle_name": "LEE",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-29",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "MI0082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "SimplePractice",
            "affiliation": "N",
            "address_1": "3320 N Buffalo Dr Ste 207",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891297411",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "SimplePractice",
            "affiliation": "N",
            "address_1": "3320 N Buffalo Dr Ste 207",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891297411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rachel Ann Richardson
• Rhea Richardson
• Robert Todd Richardson, LAT, ATC
• Romeeka Richardson
• Samuel Richardson, DO
• Sherry Richardson
• Sophie Richardson, MD
• Taja'Nai S Richardson
• Tasha Richardson
• Teresa Richardson

• Marriage & Family Therapist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Marriage & Family Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; 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.