David Michael Richardson, CERTIFIED PEER COUNS

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

1000 Cherry St SE
Olympia, WA 98501-1433

Phone

(360) 357-2582

Fax

(360) 357-2821

NPI assigned

Jul 25, 2019

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Capital Clubhouse

  • Community/Behavioral Health Agency
  • Olympia, WA
  • NPI 1255571063
  NPD

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

{
    "created_epoch": "1564012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581552000000",
    "number": "1255985537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 CHERRY ST SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985011433",
            "telephone_number": "360-357-2582",
            "fax_number": "360-357-2821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 CHERRY ST SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985011433",
            "telephone_number": "360-357-2582",
            "fax_number": "360-357-2821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "credential": "CERTIFIED PEER COUNS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-25",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2146438",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cameron Eric Rich, CPED
• Dan Richards
• Julia A Richards, MD
• Nathaniel T Richards, LMHC
• Ryan David Richards, PA-C
• Renee Cecile Richardson
• Michelle Richburg
• Charles A Richert, MD
• Shauna M Richert, MD
• Rebekah Ann Richter

• Peer Specialist in Olympia, WA
• Providers in Olympia, WA by specialty
• Peer Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; 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.