Jonathan David Richard, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

73226 Issued in TX

Practice address

108 Wild Basin Rd Ste 250
West Lake Hills, TX 78746-3468

Phone

(512) 399-3001

NPI assigned

Mar 5, 2020

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

Other names 1

• Jonathan David Richard Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1583366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583366400000",
    "number": "1609401165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 WILD BASIN RD STE 250",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787463468",
            "telephone_number": "512-399-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 WILD BASIN RD STE 250",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787463468",
            "telephone_number": "512-399-3001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2314 Indian Trl",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787032336",
            "country_code": "US",
            "telephone_number": "512-413-3533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARD",
        "first_name": "JONATHAN",
        "middle_name": "DAVID",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-05",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "73226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JONATHAN",
            "last_name": "RICHARD",
            "middle_name": "DAVID",
            "credential": "LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Relational
• Rebecca Renee Rendon-Lott, PSY.D, LPC, LCPC,NCC
• Jacquelin Rendon
• Amarantha Yatzel Reyna
• Kimberly Reyna
• Amanda Gonzalez Richardson, M.A.
• Nicole Richardson, LPC
• Rick Levinson, LCSW
• Natalie Love Ridings, LPC, LMFT
• Janel Marie Ridlehuber, M.S., CCC-SLP

• Counselor in West Lake Hills, TX
• Providers in West Lake Hills, TX by specialty
• Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.