Kaylee Jo Richards, B.S LADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

305366 Issued in MN

Practice address

909 Broadway St
Alexandria, MN 56308-1813

Phone

(320) 763-0124

Fax

(320) 763-0126

NPI assigned

Mar 19, 2019

Last updated

Mar 19, 2019By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

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

• Thrive Behavioral Network IV, LLC

  dba New Visions Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Alexandria, MN
  • NPI 1740359199
  NPD (past)

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

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552953600000",
    "number": "1235698150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4482 EGRET CT NW",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563084683",
            "telephone_number": "320-460-0286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 BROADWAY ST",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563081813",
            "telephone_number": "320-763-0124",
            "fax_number": "320-763-0126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "KAYLEE",
        "middle_name": "JO",
        "credential": "B.S LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-19",
        "last_updated": "2019-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "305366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Renner, MD
• Rice Home Medical, LLC (Corner Home Medical)
• Rice Home Medical, LLC
• Karla Jo Rice
• Larissa Rich
• Tammy Richards, PHARMD
• William Douglas Richards, D.O.
• Brian Riegel, DDS
• Karlee Rose Rieland, CNP
• Stephanie Kristine Ries, SLP

• Addiction (Substance Use Disorder) Counselor in Alexandria, MN
• Providers in Alexandria, MN by specialty
• Addiction (Substance Use Disorder) Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2019; 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.