Individual provider Active NPI

Mindy M Richard, MA, LPC, NCC

  • Professional Counselor
  • Aurora, CO
National Provider Identifier
1821166257
Registry record updated Nov 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2336 Issued in CO
Practice address
13791 E Rice PL Ste 141
Aurora, CO 80015-1080
Phone
(303) 422-0516
NPI assigned
Dec 2, 2006
Last updated
Nov 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2336 CO Primary

Addresses

Primary practice location

13791 E Rice PL Ste 141
Aurora, CO 80015-1080

Mailing address

35654 E 7TH Ave
Watkins, CO 80137-8925
Phone (303) 422-0516

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20241125003435 CO Practitioner - Mental Health Counselor 8628516374 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Watkins, CO 80137
Phone (303) 422-0516

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2336COMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mindy M Richard LPC Counseling Services LLC CurrentSince Oct 5, 2024 Accepting new patients

Locations

13791 E Rice Pl
Ste 141
Aurora, CO 80015
Phone (303) 422-0516

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732924800000",
    "number": "1821166257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35654 E 7TH AVE",
            "city": "WATKINS",
            "state": "CO",
            "postal_code": "801378925",
            "telephone_number": "303-422-0516",
            "fax_number": "303-364-2124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13791 E RICE PL STE 141",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800151080",
            "telephone_number": "303-422-0516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARD",
        "first_name": "MINDY",
        "middle_name": "M",
        "credential": "MA, LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-02",
        "last_updated": "2024-11-30",
        "certification_date": "2024-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "2336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.