Active NPI
Denise Richards, LPC
- Professional Counselor
- Warrenton, MO
National Provider Identifier
1689361032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2022032269
- Practice address
- 25681 Pendleton Forest Rd
Warrenton, MO 63383-5477 - Phone
- (636) 262-1137
- NPI assigned
- Apr 18, 2023
- Last updated
- Apr 18, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 3610 | MO | |
| Professional Counselor | 101YP2500X | 2022032269 | MO | Primary |
Addresses
Primary practice location
25681 Pendleton Forest Rd
Warrenton, MO 63383-5477
Mailing address
25681 Pendleton Forest Rd
Warrenton, MO 63383-5477
Phone (636) 262-1137
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3610 | MO | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sondermind Provider Network LLC | Professional | Current | Accepting new patients |
Locations
107 W 9th St
Fl 2
Kansas City, MO 64105
Phone (505) 382-2776
4625 Lindell Blvd
Ste 200300
Saint Louis, MO 63108
Phone (314) 639-0990
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681776000000",
"number": "1689361032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25681 PENDLETON FOREST RD",
"city": "WARRENTON",
"state": "MO",
"postal_code": "633835477",
"telephone_number": "636-262-1137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25681 PENDLETON FOREST RD",
"city": "WARRENTON",
"state": "MO",
"postal_code": "633835477",
"telephone_number": "636-262-1137"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDS",
"first_name": "DENISE",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-18",
"last_updated": "2023-04-18",
"certification_date": "2023-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MO",
"license": "3610",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2022032269",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warrenton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.