Individual provider Active NPI

Lori I Richeson, MFT

  • Marriage & Family Therapist
  • Eureka, CA
National Provider Identifier
1649313347
Registry record updated Oct 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC37323 Issued in CA
Practice address
2830 G St Ste C1
Eureka, CA 95501-4447
Phone
(707) 616-4350
NPI assigned
Feb 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC37323 CA Primary

Addresses

Primary practice location

2830 G St Ste C1
Eureka, CA 95501-4447

Mailing address

2830 G St Ste C1
Eureka, CA 95501-4447
Phone (707) 616-4350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 23, 2024 through Feb 23, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MFC37323CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538956800000",
    "number": "1649313347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2830 G ST STE C1",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955014447",
            "telephone_number": "707-616-4350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2830 G ST STE C1",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955014447",
            "telephone_number": "707-616-4350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHESON",
        "first_name": "LORI",
        "middle_name": "I",
        "name_prefix": "Ms.",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2018-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC37323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eureka, CA

Sources for this page

Verify at the official NPI Registry.