Richard O Watkins II, MSW LMSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6801071148 Issued in MI

Practice address

8361 Ellis Rd
Millington, MI 48746-0359

Phone

(989) 871-6695

NPI assigned

Feb 16, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• New Light Consultants

  • Adolescent and Children Mental Health Clinic/Center
  • Millington, MI
  • NPI 1396938262
  NPD (past) Authorized official

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188432000000",
    "number": "1750425435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3462 MILLINGTON RD",
            "city": "MILLINGTON",
            "state": "MI",
            "postal_code": "487469608",
            "telephone_number": "989-239-5850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8361 ELLIS RD",
            "city": "MILLINGTON",
            "state": "MI",
            "postal_code": "487460359",
            "telephone_number": "989-871-6695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "RICHARD",
        "middle_name": "O",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "MSW LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-16",
        "last_updated": "2007-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "6801071148",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6801071148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tina Marie Sentell, BA, SST
• Misty Danshinhee Sutton, D.C.
• Swantek Dental PLLC
• Lorrie Ann Thams, LLPC
• Tammie Marie Trato, PTA
• Danielle Christine Weber, OTRL
• Wilson Residential Care Services
• Eric Oliver Woolley
• Lori Jean Wyman, MSW, LLMSW

• Mental Health Counselor in Millington, MI
• Providers in Millington, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2007; 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.