Carol E. Richey, LCPC – Professional Counselor

Key facts

NPI: 1710024310
Entity type: Individual (NPI type 1)
Primary specialty: Professional Counselor 101YP2500X
License: 180004596 (IL)
Practice address: 230 E Main St
Morrison, IL 61270-2803
Phone: (815) 772-3626
Fax: (815) 772-3576
NPI assigned: Jan 31, 2007
Sex: Female
Sole proprietor: Yes

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 and National Provider Directory roles.

Psychological Services in the Quad Cities, PC Clinical Psychologist · Moline, IL · NPI 1881604270

NPD (past) PROFESSIONAL

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
180004596	IL	MD	Professional Counselor

Practice roles

Organization	Specialty	Status	New patients
Psychological Services in the Quad Cities, PC	Professional	Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Professional Counselor	101YP2500X	180004596	IL	Yes

Addresses

Primary practice location

230 E Main St
Morrison, IL 61270-2803

Mailing address

4324 7TH St
Moline, IL 61265-6867
Phone (309) 757-9000

Other providers in Morrison, IL

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Stephen Reimers, CRNA
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Rock Valley Physical Therapy Center
Katelyn J Rodriguez, M.S. CCC-SLP
Cassandra Sawyers, MSN, APRN, FNP-C
Scott Chiropractic Clinices, P.C.
Rebecca Sue Scott, D.C.

All providers in Morrison, IL · Professional Counselor in Illinois

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 8, 2013. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.