Elise Richard, LPC, LPCS, LAC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

5154 Issued in SC

Practice address

3030 Ashley Town Center Dr Ste 203B
Charleston, SC 29414-5678

Phone

(843) 870-0278

Fax

(843) 282-7817

NPI assigned

Apr 14, 2010

Last updated

Oct 6, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in SC

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

Specialty

Mental Health Counselor

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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

• Avondale Therapy

  • Counselor
  • Charleston, SC
  • NPI 1013375708
  NPD (past) Authorized official

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

{
    "created_epoch": "1271203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1831415900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 S AINSDALE DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294147365",
            "telephone_number": "843-870-0278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 ASHLEY TOWN CENTER DR STE 203B",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145678",
            "telephone_number": "843-870-0278",
            "fax_number": "843-282-7817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARD",
        "first_name": "ELISE",
        "name_prefix": "Mrs.",
        "credential": "LPC, LPCS, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-14",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "SC",
            "license": "5154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Rice
• Misty Kay Rice, PTA
• Teresa Catherine Rice, MD
• Chelsea N Rich, FNP
• Cindy L Rich, PHD
• Ashley Dawson Richards, MSN, APRN, FNP-C
• Charissa Donn Richards
• Jeffrey Kendal Richards, M.D.
• Jeremy B Richards, M.D.
• Kimberly N Richards, LPCA

• Counselor in Charleston, SC
• Providers in Charleston, SC by specialty
• Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.