Laura Elizabeth Richardson

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH 8547 Issued in FL

Practice address

11813 Blackeyed Susan Dr
Riverview, FL 33579-1106

Phone

(813) 690-7444

NPI assigned

Oct 13, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

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.

• Camelot Community Care, Inc

  • Foster Care Agency
  • Tampa, FL
  • NPI 1619225679
  NPD (past) Authorized official
• Camelot Community Care, Inc

  • Foster Care Agency
  • Tampa, FL
  • NPI 1639406093
  NPD (past)

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

{
    "created_epoch": "1318464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1174808885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11813 BLACKEYED SUSAN DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335791106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11813 BLACKEYED SUSAN DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335791106",
            "telephone_number": "813-690-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "LAURA",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-13",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 8547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Michelle Reyes, APRN
• Latrista Reynolds, FNP
• Sandra Mae Reynolds, PMHNP-BC
• Brandi June Rhody, MSN, APRN, FNP-C
• Ryan Dira Ricafort, DDS, MS
• Lindsey Elizabeth Richardson, DPT
• Yanara Richardson
• Jeffry Rima, DO
• Jessica Rios-Flores, LCSW-R
• Lucy Rios

• Mental Health Counselor in Riverview, FL
• Providers in Riverview, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.