Individual provider Active NPI

Thomas Richardson

  • Professional Counselor
  • Chesapeake, VA
National Provider Identifier
1609439363
Registry record updated May 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701008279 Issued in VA
Practice address
224 Great Bridge Blvd
Chesapeake, VA 23320-3904
Phone
(757) 547-9334
Fax
(757) 819-6292
NPI assigned
Apr 18, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2019

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 0701008279 VA Primary

Addresses

Primary practice location

224 Great Bridge Blvd
Chesapeake, VA 23320-3904

Mailing address

224 Great Bridge Blvd
Chesapeake, VA 23320-3904
Phone (575) 479-3347

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20240109001497 VA Practitioner - Mental Health Counselor 0749631281 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City of ChesapeakeGroup PAC ID 6204885601, 24 clinicians

Practice addresses (Care Compare)

224 Great Bridge Blvd
Chesapeake, VA 23320-3904
Phone (757) 547-9334

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
City of Chesapeake CurrentSince Jan 1, 2024 Accepting new patients
City of Chesapeake CurrentSince Jan 1, 2024 Accepting new patients

Locations

224 Great Bridge Blvd
Chesapeake, VA 23320
Phone (757) 547-9334

Organizations & group practices 2

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": "1555545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556668800000",
    "number": "1609439363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 GREAT BRIDGE BLVD",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233203904",
            "telephone_number": "575-479-3347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 GREAT BRIDGE BLVD",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233203904",
            "telephone_number": "757-547-9334",
            "fax_number": "757-819-6292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "THOMAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-18",
        "last_updated": "2019-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701008279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.