Nicole Richardson

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

24654 N Lake Pleasant Pkwy Ste 103-814
Peoria, AZ 85383-1359

Phone

(480) 648-9699

NPI assigned

Jul 11, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Cheraye Nicole Richardson Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1594425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620691200000",
    "number": "1467070854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24654 N LAKE PLEASANT PKWY STE 103-814",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853831359",
            "telephone_number": "480-648-9699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24654 N LAKE PLEASANT PKWY STE 103-814",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853831359",
            "telephone_number": "480-648-9699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-11",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHERAYE",
            "last_name": "RICHARDSON",
            "middle_name": "NICOLE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Vanessa Gail Rhodes, NP
• Bradley D Rice Jr., M.S. CCC-SLP
• Richard M. Kootman M.D.,P.C.
• Kaysha Richards, PSY.D.
• Bruce C Richardson, DC
• Maya Richardswilliams, LMT
• Kristina Richer, LAC
• Rider Mobility Inc.
• Timothy Eugene Rider, M.D.
• Ridges at Peoria, LLC (Senita Ridge)

• Professional Counselor in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Professional Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.