Dixie Myava Richardson, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH 60210060 Issued in WA

Practice address

4520 Lacey Blvd SE
Suite #21
Lacey, WA 98503-5752

Phone

(360) 870-4095

NPI assigned

Aug 4, 2010

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1280880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302652800000",
    "number": "1255645081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4520 LACEY BLVD SE",
            "address_2": "SUITE #21",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985035752",
            "telephone_number": "360-870-4095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4520 LACEY BLVD SE",
            "address_2": "SUITE #21",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985035752",
            "telephone_number": "360-870-4095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "DIXIE",
        "middle_name": "MYAVA",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-04",
        "last_updated": "2011-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH 60210060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Grace Resendiz, M.S. CCC-SLP
• Victoria Lynn Reyna
• Natalie Rhodes, O.T.R.
• Deborah Rice
• Saska Richards, LMT, LMP
• Kristen Marie Richardson, MA, CCC-SLP
• Virginia Marie Richardson
• Hope Richert, PT, DPT
• Rigelman Anesthesia Services
• Gregory A. Rigelman, CRNA

• Mental Health Counselor in Lacey, WA
• Providers in Lacey, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; 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.