Active NPI
Geoffrey A Richie, LMHC
- Counselor
- Longview, WA
National Provider Identifier
1417293473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LH60620853
- Practice address
- 945 11TH Ave Ste B
Longview, WA 98632-2555 - Phone
- (360) 414-8600
- Fax
- (360) 636-7372
- NPI assigned
- Dec 19, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LH60620853 | WA | Primary |
Addresses
Primary practice location
945 11TH Ave Ste B
Longview, WA 98632-2555
Mailing address
11335 NE 122ND Way
Ste 105
Kirkland, WA 98034-6933
Phone (425) 522-2282
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2072665 | Medicaid | WA | |
| 7646990 | Other | AETNA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| LH60620853 | WA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547596800000",
"number": "1417293473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11335 NE 122ND WAY",
"address_2": "STE 105",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980346933",
"telephone_number": "425-522-2282",
"fax_number": "425-242-8813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "945 11TH AVE STE B",
"city": "LONGVIEW",
"state": "WA",
"postal_code": "986322555",
"telephone_number": "360-414-8600",
"fax_number": "360-636-7372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHIE",
"first_name": "GEOFFREY",
"middle_name": "A",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-12-19",
"last_updated": "2019-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WA",
"license": "LH60620853",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2072665",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7646990",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Longview, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.