Talicia Richardson, MS, LAC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

A2309022 Issued in AR

Practice address

5111 Rogers Ave Ste 561
Fort Smith, AR 72903-2047

Phone

(479) 595-8333

NPI assigned

Oct 9, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1696809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1326829227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 N 7TH ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729012015",
            "telephone_number": "214-912-0353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5111 ROGERS AVE STE 561",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729032047",
            "telephone_number": "479-595-8333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "TALICIA",
        "credential": "MS, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-09",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "A2309022",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "A2309022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camille Yvonne Richards, M.D.
• Jerry D Richards, BC-HIS,ACA
• Derrick L Richardson, MD
• Janet Richardson, LCSW
• Matthew Wade Richardson, CCC-SLP
• Andrew Balford Riche, M.D.
• Danny M Richie, MHPP
• Kristen Ricketts
• Riddle Modern Dentistry & Implants
• Rufus Paul Riddle, DDS

• Professional Counselor in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Professional Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; 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.