Individual provider Active NPI

Matthew Henry Richardson, LCPC

  • Professional Counselor
  • Hunt Valley, MD
National Provider Identifier
1295253573
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC7868 Issued in MD
Practice address
303 International Cir Ste T125
Hunt Valley, MD 21030-1391
Phone
(443) 797-0144
NPI assigned
Sep 6, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 LC7868 MD Primary

Addresses

Primary practice location

303 International Cir Ste T125
Hunt Valley, MD 21030-1391

Mailing address

303 International Cir
Hunt Valley, MD 21030-1464
Phone (443) 797-0144

Other practice location 1

5500 E Lombard St
Baltimore, MD 21224-1731
Phone (410) 550-2284

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: No
  • 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
I20241206003241 MD Practitioner - Mental Health Counselor 5395271803 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC7868MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Safe Harbor Community Services CurrentSince Nov 1, 2024 Accepting new patients

Locations

1208 E Churchville Rd
Ste 300
Bel Air, MD 21014
Phone (410) 838-9500

2227 Old Emmorton Rd
Ste 115
Bel Air, MD 21015
Phone (410) 589-0999

2227 Old Emmorton Rd
Ste 119
Bel Air, MD 21015
Phone (410) 561-9497

Organizations & group practices 1

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": "1504656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1295253573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 INTERNATIONAL CIR",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210301464",
            "telephone_number": "443-797-0144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 INTERNATIONAL CIR STE T125",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210301391",
            "telephone_number": "443-797-0144"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5500 E Lombard St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212241731",
            "country_code": "US",
            "telephone_number": "410-550-2284",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "MATTHEW",
        "middle_name": "HENRY",
        "name_prefix": "Mr.",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-06",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC7868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hunt Valley, MD

Sources for this page

Verify at the official NPI Registry.