Clarissa Marie Edge Richardson, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

071.010899 Issued in IL

Practice address

1 Old State Capitol PLZ
Springfield, IL 62701-1512

Phone

(217) 953-1343

NPI assigned

Jun 21, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Richardson Counseling Services, PLLC

  • Community/Behavioral Health Agency
  • Springfield, IL
  • NPI 1063116002
  NPD Authorized official

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

{
    "created_epoch": "1529539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1649764713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3975 LEACH RD",
            "city": "ROCHESTER",
            "state": "IL",
            "postal_code": "625638061",
            "telephone_number": "217-953-1343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 OLD STATE CAPITOL PLZ",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627011512",
            "telephone_number": "217-953-1343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "CLARISSA",
        "middle_name": "MARIE EDGE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-21",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071.010899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Joseph Riblett, PHD, DABR
• Lisa Renee Rich, COTA/L
• Trent Edward Rich, MD
• Richardson Counseling Services, PLLC
• Bryan Alexander Richardson, M.D
• Omarr Richardson
• Richie Chiropractic Health Centre
• Richie Chiropractic PC
• Anna M Richie, M.D.
• Loren W. Richie, DC

• Psychologist in Springfield, IL
• Providers in Springfield, IL by specialty
• Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; 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.