Richmond Counseling LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801064001 Issued in MI

Legal business name

RICHMOND COUNSELING LLC

Practice address

5270 Northland Dr NE Ste B
Grand Rapids, MI 49525-1073

Phone

(616) 514-8860

NPI assigned

Aug 22, 2018

Organization subpart

No

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

Authorized official

Name

Mary Beth Houpt

Title

Credentialing

Phone

(517) 676-9788

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenneth L Richmond, L.M.S.W.

  • Clinical Social Worker
  • White Cloud, MI
  • NPI 1245341940
  Medicare reassignment NPD

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

{
    "created_epoch": "1534896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576108800000",
    "number": "1750862470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488540010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5270 NORTHLAND DR NE STE B",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495251073",
            "telephone_number": "616-514-8860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHMOND COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-22",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A",
        "authorized_official_last_name": "HOUPT",
        "authorized_official_first_name": "MARY BETH",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "517-676-9788"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801064001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Titiana Shanee Richardson, LMSW
• Beth Anne Richey, PA-C
• Christine Marie Richey, ATC
• Tamira Richey
• Michael Robert Richman, LPC
• Ashley M Richmond, N/A
• Melissa Arianna Richmond
• Daniel James Richter, LMSW
• Sarah Marie Richter, LLMSW
• Anthony J Richtsmeier, MD

• Clinical Social Worker in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.