Individual provider Active NPI

Richard Morton Truesdail II, MA, LLPC

  • Professional Counselor
  • Flint, MI
National Provider Identifier
1548485709
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401008872 Issued in MI
Practice address
4011 Village Dr
Flint, MI 48507-5558
Phone
(810) 235-2500
NPI assigned
Apr 14, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 6401008872 MI Primary

Addresses

Primary practice location

4011 Village Dr
Flint, MI 48507-5558

Mailing address

5275 Fran Dr
Grand Blanc, MI 48439-7647
Phone (810) 869-4786

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6401008872MIMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1176508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548485709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5275 FRAN DR",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484397647",
            "telephone_number": "810-869-4786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4011 VILLAGE DR",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485075558",
            "telephone_number": "810-235-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUESDAIL",
        "first_name": "RICHARD",
        "middle_name": "MORTON",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "MA, LLPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401008872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.