Organization Active NPI

Courtney Richards, LCPC, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Missoula, MT
National Provider Identifier
1609485747
Registry record updated Jul 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
COURTNEY RICHARDS, LCPC, PLLC
Practice address
1048 Burlington Ave Ste 108
Missoula, MT 59801-5684
Phone
(406) 830-1122
NPI assigned
Jul 24, 2020
Last updated
Jul 24, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2020

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

Authorized official

Name
Courtney A Richards, LCPCNPI 1528506136
Title
Counselor
Phone
(406) 830-1122

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

1048 Burlington Ave Ste 108
Missoula, MT 59801-5684

Mailing address

350 Strand Ave
Missoula, MT 59801-5715
Phone (517) 648-2825

Other identifiers 1

IdentifierTypeStateIssuer
1528506136MedicaidMT

National Provider Directory

National Provider Directory

Locations

1048 Burlington Ave
Ste 108
Missoula, MT 59801
Phone (406) 544-4704

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1595548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595548800000",
    "number": "1609485747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 STRAND AVE",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598015715",
            "telephone_number": "517-648-2825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1048 BURLINGTON AVE STE 108",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598015684",
            "telephone_number": "406-830-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURTNEY RICHARDS, LCPC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-24",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "406-830-1122",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528506136",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2020; 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.