Antwan Richardson

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

COU.11184 Issued in SC

Practice address

2565 Nicholson Dr
Sumter, SC 29153-7544

Phone

(252) 292-6708

NPI assigned

Sep 15, 2026

Sex

Unspecified or another gender identity

Sole proprietor

Yes

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

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

{
    "created_epoch": "1789430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789430400000",
    "number": "1679484984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2565 NICHOLSON DR",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291537544",
            "telephone_number": "252-292-6708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2565 NICHOLSON DR",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291537544",
            "telephone_number": "252-292-6708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "ANTWAN",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2026-09-15",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "COU.11184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew J. Reynolds, MD
• Edward R Reynolds, PAC
• Jeremy Allen Rhodes, DO
• Russell David Rich, M.A.
• Rhonda Kay Richardson-Windham, RN, BSN
• Cynthia D Richardson, GNP
• Darlene L. Richardson, R.PH.
• Rebekah Russell Richardson, MA, CCC-SLP
• Rosalyn Richardson
• Sophia Richardson

• Mental Health Counselor in Sumter, SC
• Providers in Sumter, SC by specialty
• Mental Health Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; 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.