Individual provider Active NPI

James Richarddon, MS, LP

  • Mental Health Counselor
  • Woodbury, MN
National Provider Identifier
1578695706
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LP2150 Issued in MN
Practice address
8490 Woodbury Xing
Woodbury, MN 55125-9433
Phone
(612) 481-1600
Fax
(651) 731-6345
NPI assigned
Mar 12, 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
Mental Health Counselor 101YM0800X LP2150 MN Primary

Addresses

Primary practice location

8490 Woodbury Xing
Woodbury, MN 55125-9433

Mailing address

8490 Woodbury Xing
Woodbury, MN 55125-9433
Phone (612) 481-1600

Other identifiers 1

IdentifierTypeStateIssuer
242227100MedicaidMN

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 Science

State licenses

LicenseStateTypeSpecialty
LP2150MNMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578695706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8490 WOODBURY XING",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551259433",
            "telephone_number": "612-481-1600",
            "fax_number": "651-731-6345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8490 WOODBURY XING",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551259433",
            "telephone_number": "612-481-1600",
            "fax_number": "651-731-6345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDDON",
        "first_name": "JAMES",
        "credential": "MS, LP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "LP2150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "242227100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, MN

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.