Individual provider Active NPI

R. Renee Richardson, MA

  • Mental Health Counselor
  • Albuquerque, NM
National Provider Identifier
1760547384
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
NM2020 Issued in NM
Practice address
12614 Colony PL NE
Albuquerque, NM 87122
Phone
(505) 883-1799
Fax
(505) 883-1799
NPI assigned
Dec 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NM2020 NM Primary

Addresses

Primary practice location

12614 Colony PL NE
Albuquerque, NM 87122

Mailing address

12614 Colony PL NE
Albuquerque, NM 87122
Phone (505) 883-1799

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240808001112 NM Practitioner - Mental Health Counselor 5092252072 Practice locations: Albuquerque, NM

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1988
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

12614 Colony PL NE
Albuquerque, NM 87122-4333
Phone (505) 883-1799

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1760547384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12614 COLONY PL NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87122",
            "telephone_number": "505-883-1799",
            "fax_number": "505-883-1799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12614 COLONY PL NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87122",
            "telephone_number": "505-883-1799",
            "fax_number": "505-883-1799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "R. RENEE",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-26",
        "last_updated": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "NM2020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.