Individual provider Active NPI

Andre L. Richards Sr., MAC, SAP, CCS, CSAC

  • Addiction (Substance Use Disorder) Counselor
  • Portsmouth, VA
National Provider Identifier
1629615323
Registry record updated Dec 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
710102796 Issued in VA
Practice address
720 Rodman Ave
Portsmouth, VA 23707-3118
Phone
(757) 749-6119
Fax
(757) 393-9611
NPI assigned
Dec 2, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 710102796 VA Primary

Addresses

Primary practice location

720 Rodman Ave
Portsmouth, VA 23707-3118

Mailing address

757 Spence Cir
Virginia Beach, VA 23462-4875
Phone (757) 749-6119

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
710102796VAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
A. Richards Counseling & Psychotherapy, LLC CurrentSince Jul 24, 2022 Accepting new patients

Locations

720 Rodman Ave
Portsmouth, VA 23707
Phone (757) 393-9611

Organizations & group practices 1

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": "1575244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575244800000",
    "number": "1629615323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "757 SPENCE CIR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234624875",
            "telephone_number": "757-749-6119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 RODMAN AVE",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237073118",
            "telephone_number": "757-749-6119",
            "fax_number": "757-393-9611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "ANDRE",
        "middle_name": "L.",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "MAC, SAP, CCS, CSAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-02",
        "last_updated": "2019-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "710102796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2019; 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.