Individual provider Active NPI

Patrice Crenshaw Richardson, LPC

  • Professional Counselor
  • Fredericksburg, VA
National Provider Identifier
1376786228
Registry record updated Sep 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701003141 Issued in VA
Practice address
4414 Lafayette Blvd Ste 239a
Fredericksburg, VA 22408-4271
Phone
(804) 399-9945
NPI assigned
Apr 8, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701003141 VA Primary

Addresses

Primary practice location

4414 Lafayette Blvd Ste 239a
Fredericksburg, VA 22408-4271

Mailing address

4414 Lafayette Blvd Ste 239a
Fredericksburg, VA 22408-4271

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
0701003141VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
PCR Counseling Services LLC Current Accepting new patients

Locations

4414 Lafayette Blvd
Ste 240A
Fredericksburg, VA 22408
Phone (540) 870-6655

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": "1239148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1376786228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4414 LAFAYETTE BLVD STE 239A",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224084271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4414 LAFAYETTE BLVD STE 239A",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224084271",
            "telephone_number": "804-399-9945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "PATRICE",
        "middle_name": "CRENSHAW",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-08",
        "last_updated": "2021-09-09",
        "certification_date": "2020-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701003141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; 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.