Individual provider Active NPI

Denise Richardson, LMHC, CCTP2, CASAC2

  • Mental Health Counselor
  • Rockaway Beach, NY
National Provider Identifier
1346780764
Registry record updated Jun 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
007158-1 Issued in NY
Practice address
8400 Shore Front Pkwy Apt 8C
Rockaway Beach, NY 11693-1816
Phone
(646) 436-6481
Fax
(718) 945-2149
NPI assigned
Mar 3, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 007158-1 NY Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 18351 NY

Addresses

Primary practice location

8400 Shore Front Pkwy Apt 8C
Rockaway Beach, NY 11693-1816

Mailing address

8400 Shore Front Pkwy Apt 8C
Rockaway Beach, NY 11693-1816
Phone (718) 578-4246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
18351NYMDAddiction (Substance Use Disorder) Counselor
007158-1NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Denise Richardson Addiction (Substance Use Disorder) CurrentSince Sep 29, 2024 Accepting new patients

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

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": "1488499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717804800000",
    "number": "1346780764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8400 SHORE FRONT PKWY APT 8C",
            "city": "ROCKAWAY BEACH",
            "state": "NY",
            "postal_code": "116931816",
            "telephone_number": "718-578-4246",
            "fax_number": "718-945-2149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8400 SHORE FRONT PKWY APT 8C",
            "city": "ROCKAWAY BEACH",
            "state": "NY",
            "postal_code": "116931816",
            "telephone_number": "646-436-6481",
            "fax_number": "718-945-2149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "DENISE",
        "name_prefix": "Dr.",
        "credential": "LMHC, CCTP2, CASAC2",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-03",
        "last_updated": "2024-06-08",
        "certification_date": "2024-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "007158-1",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "18351",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockaway Beach, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2024; 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.