Active NPI
Deanna Marie Richmond, MA, LPC
- Mental Health Counselor
- Hayden, ID
National Provider Identifier
1619485141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 8415
- Practice address
- 9407 N Government Way Ste 12
Hayden, ID 83835-8230 - Phone
- (208) 918-0856
- NPI assigned
- Jan 18, 2018
- Last updated
- Aug 31, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | R4676 | OR | |
| Mental Health Counselor | 101YM0800X | 8415 | ID | Primary |
Addresses
Primary practice location
9407 N Government Way Ste 12
Hayden, ID 83835-8230
Mailing address
9407 N Government Way Ste 12
Hayden, ID 83835-8230
Phone (503) 314-5280
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R4676 | OR | MD | Counselor |
| 8415 | ID | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661904000000",
"number": "1619485141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9407 N GOVERNMENT WAY STE 12",
"city": "HAYDEN",
"state": "ID",
"postal_code": "838358230",
"telephone_number": "503-314-5280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9407 N GOVERNMENT WAY STE 12",
"city": "HAYDEN",
"state": "ID",
"postal_code": "838358230",
"telephone_number": "208-918-0856"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHMOND",
"first_name": "DEANNA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "MA, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-18",
"last_updated": "2022-08-31",
"certification_date": "2022-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OR",
"license": "R4676",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "ID",
"license": "8415",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hayden, ID
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- Rickheim, DDS, Ms, PLLC (Timberline Oral Surgery & Dental Implants)
- Courtney Riddle, LCSW
- Terrance A Riske, MD
- Ashley Roberts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.