Individual provider Active NPI

Allaphia Sackeena Richards, M.ED

  • Clinical Social Worker
  • Randolph, MA
National Provider Identifier
1568960094
Registry record updated Apr 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
315254 Issued in MA
Practice address
500 N Main St
Randolph, MA 02368-6700
Phone
(781) 267-0954
NPI assigned
Jan 30, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 106S00000X MA
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 315254 MA Primary

Addresses

Primary practice location

500 N Main St
Randolph, MA 02368-6700

Mailing address

500 N Main St
Randolph, MA 02368-6700
Phone (781) 267-0954

Other practice location 1

1 Liberty Pl
Randolph, MA 02368-3761
Phone (617) 980-6904

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250109002190 MA Practitioner - Mental Health Counselor 1557899101 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

500 N Main St
Unit D
Randolph, MA 02368-6700
Phone (781) 267-0954

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
315254MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Paradise Healing LLC Multi-Specialty CurrentSince Jan 3, 2025 Accepting new patients

Locations

500 N Main St
Randolph, MA 02368
Phone (774) 526-7440

500 N Main St
Unit D
Randolph, MA 02368
Phone (781) 267-0954

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1517270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650758400000",
    "number": "1568960094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N MAIN ST",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023686700",
            "telephone_number": "781-267-0954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N MAIN ST",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023686700",
            "telephone_number": "781-267-0954"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Liberty Pl",
            "address_purpose": "LOCATION",
            "city": "Randolph",
            "state": "MA",
            "postal_code": "023683761",
            "country_code": "US",
            "telephone_number": "617-980-6904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "ALLAPHIA",
        "middle_name": "SACKEENA",
        "credential": "M.ED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-30",
        "last_updated": "2022-04-24",
        "certification_date": "2022-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": "MA",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "315254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Randolph, MA

Sources for this page

Verify at the official NPI Registry.