Individual provider Active NPI

Karen Jones Richardson, LPC

  • Counselor
  • Warner Robins, GA
National Provider Identifier
1376510834
Registry record updated Apr 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
003950 Issued in GA
Practice address
100 Katelyn Cir Ste B
Warner Robins, GA 31088-6483
Phone
(478) 953-2122
Fax
(478) 953-2060
NPI assigned
Mar 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 003950 GA Primary

Addresses

Primary practice location

100 Katelyn Cir Ste B
Warner Robins, GA 31088-6483

Mailing address

PO Box 635
Bonaire, GA 31005-0635
Phone (478) 953-2122

Other practice location 1

179 Pierce Ave
Macon, GA 31204-2821
Phone (478) 742-1464

Other identifiers 1

IdentifierTypeStateIssuer
672422402AMedicaidGA

Other names 1

  • Karen Annette Jones Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • 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
I20240313000065 GA Practitioner - Mental Health Counselor 0749624252 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

100 Katelyn Cir
Suite B
Warner Robins, GA 31088-6483
Phone (478) 449-5890

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003950GAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Central Georgia Counseling Services CurrentSince Jan 1, 2024 Accepting new patients
Teladoc Health Medical Group, P.a. Counselor Current Accepting new patients
MCG Eap Services, Inc. PastSince Aug 29, 2019 Accepting new patients

Locations

100 Katelyn Cir
Ste B
Warner Robins, GA 31088
Phone (478) 227-4713

Interoperability endpoints

  • Direct secure messaging: karenrichardson@tdh.allscriptsdirect.net

Organizations & group practices 3

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": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525046400000",
    "number": "1376510834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 635",
            "city": "BONAIRE",
            "state": "GA",
            "postal_code": "310050635",
            "telephone_number": "478-953-2122",
            "fax_number": "478-953-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 KATELYN CIR STE B",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310886483",
            "telephone_number": "478-953-2122",
            "fax_number": "478-953-2060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "179 Pierce Ave",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312042821",
            "country_code": "US",
            "telephone_number": "478-742-1464",
            "fax_number": "478-742-1883",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "KAREN",
        "middle_name": "JONES",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-03",
        "last_updated": "2018-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "GA",
            "license": "003950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "672422402A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "JONES",
            "middle_name": "ANNETTE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Warner Robins, GA

Sources for this page

Verify at the official NPI Registry.