Active NPI
Ilene Ann Richardson, LCPC
- Professional Counselor
- Onancock, VA
National Provider Identifier
1427044296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC1278
- Practice address
- 15262 Russell Dr
Onancock, VA 23417-3004 - Phone
- (410) 713-0709
- Fax
- (410) 546-0264
- NPI assigned
- Sep 27, 2005
- Last updated
- Jan 10, 2016
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LC1278 | MD | Primary |
Addresses
Primary practice location
15262 Russell Dr
Onancock, VA 23417-3004
Mailing address
15262 Russell Dr
Onancock, VA 23417-3004
Phone (410) 713-0709
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 805688000 | Other | MD | MAGELLAN |
| 7452697 | Other | MD | AETNA |
| 412815000 | Other | MD | STATE OF MARYLAND |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC1278 | MD | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452384000000",
"number": "1427044296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15262 RUSSELL DR",
"city": "ONANCOCK",
"state": "VA",
"postal_code": "234173004",
"telephone_number": "410-713-0709",
"fax_number": "410-546-0264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15262 RUSSELL DR",
"city": "ONANCOCK",
"state": "VA",
"postal_code": "234173004",
"telephone_number": "410-713-0709",
"fax_number": "410-546-0264"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDSON",
"first_name": "ILENE",
"middle_name": "ANN",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-09-27",
"last_updated": "2016-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC1278",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "805688000",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7452697",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF MARYLAND",
"identifier": "412815000",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Onancock, VA
- Melissa Payne
- Peninsula Cancer Institute LLC (Shore Cancer Institute)
- Lauren Pruitt, LPTA
- Ghias Ahmad Rana, M.D.
- Renal Treatment Centers Mid Atlantic Inc (Onancock Dialysis)
- Riverside Physician Services Inc (Riverside Radiation Oncology Specialists-Shore)
- Riverside Physician Services Inc (Riverside Shore Palliative Care and Hospice Specialists)
- Riverside Physician Services Inc (Riverside Medical Group - Shore)
- Riverside Physician Services, Inc (Riverside Shore Memorial Hospitalists)
- Kathyanne Parker Runninger, CPHT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.