Individual provider Active NPI

Brian Richardson, LCPC

  • Professional Counselor
  • Wyomissing, PA
National Provider Identifier
1881082212
Registry record updated Jun 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC011202 Issued in PA
Practice address
716 N Park Rd
Ste 1
Wyomissing, PA 19610-2912
Phone
(610) 375-0544
Fax
(610) 378-9779
NPI assigned
Jan 8, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2019

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 PC011202 PA Primary

Addresses

Primary practice location

716 N Park Rd
Ste 1
Wyomissing, PA 19610-2912

Mailing address

1800 N 12TH St
Reading, PA 19604-1545
Phone (610) 816-5728

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PC011202PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Holistic Wellcare Counseling LLC Current Accepting new patients
Berkshire Psychiatric & Behavioral Health Services, PLLC Professional PastSince May 18, 2020 Accepting new patients
Haven Behavioral Services of Reading, LLC Past Accepting new patients

Locations

55 New St
Ste C1
Ephrata, PA 17522

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1420675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561075200000",
    "number": "1881082212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 N 12TH ST",
            "city": "READING",
            "state": "PA",
            "postal_code": "196041545",
            "telephone_number": "610-816-5728",
            "fax_number": "610-816-5710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 N PARK RD",
            "address_2": "STE 1",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196102912",
            "telephone_number": "610-375-0544",
            "fax_number": "610-378-9779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "BRIAN",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-08",
        "last_updated": "2019-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC011202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyomissing, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.