Freddreka Richardson, MSW, VPA

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

6515 Lighthouse Drive
Suite 204
Portage, IN 46368

Phone

(870) 816-7570

NPI assigned

Mar 19, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Divine Community Advocates

  • Voluntary or Charitable Agency
  • Portage, IN
  • NPI 1184373052
  NPD Authorized official

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

{
    "created_epoch": "1647648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647648000000",
    "number": "1538818414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6515 LIGHTHOUSE DRIVE",
            "address_2": "SUITE 204",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "46368",
            "telephone_number": "870-816-7570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6515 LIGHTHOUSE DRIVE",
            "address_2": "SUITE 204",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "46368",
            "telephone_number": "870-816-7570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "FREDDREKA",
        "credential": "MSW, VPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-19",
        "last_updated": "2022-03-19",
        "certification_date": "2022-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rci (WRS), LLC. (RUSH Physical Therapy)
• Kardetra Redmond
• Riley Otten Reed
• Tina Rees, LPN
• Sara Rhoades, RN
• Kendra Riley, L.C.S.W.
• Cassandra K Ringer
• Rittenhouse Senior Living of Portage LLC
• Robert T. Ang, M.D.
• Jeffrey R Robertson, LCSW

• Counselor in Portage, IN
• Providers in Portage, IN by specialty
• Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2022; 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.