Individual provider Active NPI

Suzanne Richardson, L.P.C.

  • Professional Counselor
  • Durant, OK
National Provider Identifier
1295053825
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2807 Issued in OK
Practice address
1313 N 16TH Ave
Durant, OK 74701-2134
Phone
(580) 634-2332
NPI assigned
May 6, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2807 OK Primary

Addresses

Primary practice location

1313 N 16TH Ave
Durant, OK 74701-2134

Mailing address

1313 N 16TH Ave
Durant, OK 74701-2134
Phone (580) 634-2332

Other practice location 1

1120 E Main St
Norman, OK 73071-5300
Phone (405) 360-5100

Other identifiers 1

IdentifierTypeStateIssuer
100746700BMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240429003050 OK Practitioner - Mental Health Counselor 0244670982 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nsight for Life LLCGroup PAC ID 7719339134, 6 clinicians

Practice addresses (Care Compare)

1313 N 16TH Ave
Durant, OK 74701-2134
Phone (580) 634-2332

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nsight for Life LLC CurrentSince Mar 20, 2024 Accepting new patients
Multi County Counseling, Inc. Past Accepting new patients
State of Oklahoma PastSince Jun 9, 2024 Accepting new patients

Locations

1313 N 16th Ave
Durant, OK 74701
Phone (580) 634-2332

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1273104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1295053825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 N 16TH AVE",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747012134",
            "telephone_number": "580-634-2332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 N 16TH AVE",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747012134",
            "telephone_number": "580-634-2332"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1120 E Main St",
            "address_purpose": "LOCATION",
            "city": "Norman",
            "state": "OK",
            "postal_code": "730715300",
            "country_code": "US",
            "telephone_number": "405-360-5100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "SUZANNE",
        "credential": "L.P.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-06",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "2807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100746700B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durant, OK

Sources for this page

Verify at the official NPI Registry.