Kimberlee A Richardson, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH8848 Issued in FL

Practice address

2813 S Hiawassee Rd
Ste 207
Orlando, FL 32835-6300

Phone

(407) 492-6271

Fax

(407) 568-9258

NPI assigned

Oct 9, 2006

Sex

Female

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

• Kimberlee A Clough Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629165691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19540 GLEN ELM WAY",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32833",
            "telephone_number": "407-568-9258",
            "fax_number": "407-568-9258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2813 S HIAWASSEE RD",
            "address_2": "STE 207",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328356300",
            "telephone_number": "407-492-6271",
            "fax_number": "407-568-9258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "KIMBERLEE",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH8848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLEE",
            "last_name": "CLOUGH",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cheyenne Richardson
• Dina Ann Richardson, LCSW
• Edwin Anthony Richardson Jr.
• Eric Richardson, SPA OWNER
• Kait Richardson, RDN
• Laquanda Renee Richardson, BS
• Lori Lynn Richardson, LMT
• Pamela Michelle Richardson, DO
• Rachel Richardson, M.A.
• Rachel Ann Richardson

• Mental Health Counselor in Orlando, FL
• Providers in Orlando, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.