Richard Kelly Powelson, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

61247193 Issued in WA

Practice address

925 Stevens Dr Ste Richland
Richland, WA 99352-3523

Phone

(509) 769-3136

NPI assigned

Mar 18, 2020

Sex

Male

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1584489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1366078644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2326 W 16TH AVE",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993372803",
            "telephone_number": "509-221-1008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 STEVENS DR STE RICHLAND",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523523",
            "telephone_number": "509-769-3136"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21907 64th Ave W Ste 200",
            "address_purpose": "LOCATION",
            "city": "Mountlake Terrace",
            "state": "WA",
            "postal_code": "980436200",
            "country_code": "US",
            "telephone_number": "425-640-7009",
            "fax_number": "425-640-9600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POWELSON",
        "first_name": "RICHARD",
        "middle_name": "KELLY",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-18",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "61015885",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "61247193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Eileen Potts, DPT
• Michael Andrew Potts
• Poulson Counseling PLLC
• Mary Jane Poulson, MA, NCC, LMHC, LPC
• Eric Scott Powell, DDS
• Stata Joan Powers, LMT
• Jennille Prasad, RN
• Premier Anesthesia of Richland a Division of Premier Anesthesia, LLC
• Premier Home Health Services LLC
• Heather Prentice

• All providers in Richland, WA
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; 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.