Nicole Jordan Richardson, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

78941 Issued in TX

Practice address

2301 Olympia Dr Ste 200
Flower Mound, TX 75028-1855

Phone

(817) 412-1426

NPI assigned

Mar 29, 2020

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Crown of Hope Counseling PLLC

  • Community/Behavioral Health Agency
  • Flower Mound, TX
  • NPI 1750910022
  NPD

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

{
    "created_epoch": "1585440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585440000000",
    "number": "1336777036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3144 STONE CREEK LN",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513801",
            "telephone_number": "817-412-1426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 OLYMPIA DR STE 200",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750281855",
            "telephone_number": "817-412-1426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "NICOLE",
        "middle_name": "JORDAN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-29",
        "last_updated": "2020-03-29",
        "certification_date": "2020-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "78941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "nici.richardsonlpc@gmail.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "2301 Olympia Dr Ste 200",
            "city": "Flower Mound",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750281855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rheumatology & Autoimmune Specialists PLLC
• Christopher Rhoten, DC
• Adriana Rice, RN
• Richard W Williamson MD PA
• Debra Ann Richardson, PT
• Caroline Nicole Richey, M.S.
• Chedrick Ricks
• Albir Rifati
• Kristin B. Ringe, M.A., LPC
• Aimee Marin Rivas

• Professional Counselor in Flower Mound, TX
• Providers in Flower Mound, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.