Kaelyn Richardson

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

709 3Rd Ave Ste 201
Longmont, CO 80501

Phone

(720) 541-8806

NPI assigned

Sep 3, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1441238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560816000000",
    "number": "1871961094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5220 MT ARAPAHO CIR",
            "city": "FREDERICK",
            "state": "CO",
            "postal_code": "805045535",
            "telephone_number": "720-980-3170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 3RD AVE STE 201",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "80501",
            "telephone_number": "720-541-8806"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1026 W Abriendo Ave",
            "address_purpose": "LOCATION",
            "city": "Pueblo",
            "state": "CO",
            "postal_code": "810041128",
            "country_code": "US",
            "telephone_number": "719-545-2746",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "KAELYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-03",
        "last_updated": "2019-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garth Reynolds, L.AC.
• Robert Reynolds
• Caroline Danielle Rice, CNM
• Richardson Staver Inc (Alpine Physical Therapy)
• Julia Richardson, MSPT
• Maclovia Lois Richardson
• Mary Lynn Richardson, RPT
• Karyssa Richman, LMT
• Katie Ricketts, CF SLP
• Jeremy Riddell-Kaufman, LPC, MA

• Mental Health Counselor in Longmont, CO
• Providers in Longmont, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2019; 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.