Holly Smith Richardson, HOLLY

Primary specialty

CounselorTaxonomy code 101Y00000X

License

9515 Issued in LA

Practice address

11861 Coursey Blvd
Baton Rouge, LA 70816-4404

Phone

(225) 612-8656

NPI assigned

May 22, 2017

Last updated

May 11, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Clear Minds Behavioral Health, Inc

  dba Clear Minds Behavorial Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baton Rouge, LA
  • NPI 1053869222
  NPD
• Clear Minds Behavioral Health, Inc

  • Primary Care Clinic/Center
  • Baton Rouge, LA
  • NPI 1609423862
  NPD

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

{
    "created_epoch": "1495411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1184151078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 COLONIAL DR STE 2A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708066505",
            "telephone_number": "225-292-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11861 COURSEY BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708164404",
            "telephone_number": "225-612-8656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "HOLLY",
        "middle_name": "SMITH",
        "credential": "HOLLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-22",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "9515",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "LA",
            "license": "9515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alys G Richardson, RN
• Casey Richardson
• Charburn Richardson
• Clif S Richardson, DPM
• Ebony Nolan Richardson, RSW
• Johnny O'Neal Richardson
• Jordan Richardson
• Kenyanna Richardson
• Kierra Richardson
• Kristina Richardson, PLPC, NCC

• Counselor in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.