Michael Robert Richman, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401012940 Issued in MI

Practice address

528 Bridge St NW Ste 3
Grand Rapids, MI 49504-5349

Phone

(616) 888-4353

Fax

(833) 777-2774

NPI assigned

Mar 5, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• New Revelation Counseling Service LLC

  • Community/Behavioral Health Agency
  • Ada, MI
  • NPI 1649732116
  NPD Authorized official

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

{
    "created_epoch": "1393977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1609292333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 BRIDGE ST NW STE 3",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495045349",
            "telephone_number": "616-888-4353",
            "fax_number": "833-777-2774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 BRIDGE ST NW STE 3",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495045349",
            "telephone_number": "616-888-4353",
            "fax_number": "833-777-2774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHMAN",
        "first_name": "MICHAEL",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-05",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401012940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhea-Alana Richardson, LPC
• Titiana Shanee Richardson, LMSW
• Beth Anne Richey, PA-C
• Christine Marie Richey, ATC
• Tamira Richey
• Richmond Counseling LLC
• Ashley M Richmond, N/A
• Melissa Arianna Richmond
• Daniel James Richter, LMSW
• Sarah Marie Richter, LLMSW

• Professional Counselor in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.