Active NPI
Tameca Rashaun Richardson, QMHP, CSAC-A, PMP
- Community/Behavioral Health Agency
- South Boston, VA
National Provider Identifier
1699282103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Practice address
- 606 Broad St
South Boston, VA 24592-3200 - Phone
- (434) 265-5004
- Fax
- (434) 608-0504
- NPI assigned
- Jan 5, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | 0711000387 | VA | |
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
606 Broad St
South Boston, VA 24592-3200
Mailing address
196 Simmons Lake Dr
Gibsonville, NC 27249-8942
Phone (336) 254-5163
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0711000387 | VA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Next Step Living Residential Homes, Inc | Addiction (Substance Use Disorder) | Current | Accepting new patients |
| Crossroads Treatment Center of Danville, PC | Community/Behavioral Health | Past | Accepting new patients |
Locations
606 Broad St
South Boston, VA 24592
Phone (434) 265-5004
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- South Boston, VA
- NPI 1568344760
Addiction (Substance Use Disorder)
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Danville, VA
- NPI 1225570195
Community/Behavioral Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754006400000",
"number": "1699282103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "196 SIMMONS LAKE DR",
"city": "GIBSONVILLE",
"state": "NC",
"postal_code": "272498942",
"telephone_number": "336-254-5163",
"fax_number": "434-608-0504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "606 BROAD ST",
"city": "SOUTH BOSTON",
"state": "VA",
"postal_code": "245923200",
"telephone_number": "434-265-5004",
"fax_number": "434-608-0504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDSON",
"first_name": "TAMECA",
"middle_name": "RASHAUN",
"credential": "QMHP, CSAC-A, PMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-05",
"last_updated": "2025-08-01",
"certification_date": "2025-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "VA",
"license": "0711000387",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Boston, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.