Cynthia J McPherson-Richardson, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3282 Issued in MS

Practice address

10532 Auto Mall Pkwy
Diberville, MS 39540-3708

Phone

(228) 828-5208

Fax

(228) 220-4303

NPI assigned

Jun 29, 2007

Last updated

Jul 29, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

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, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier Professional Counseling Services, LLCGroup PAC ID 7214329358, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Premier Professional Counseling Services, LLC

  • Clinical Social Worker
  • Gulfport, MS
  • NPI 1750878781
  Medicare reassignment Care Compare group NPD
• Kimila Deflanders LCSW LLC

  • Clinical Social Worker
  • Gulfport, MS
  • NPI 1588217699
  NPD (past)

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1962609198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10532 AUTO MALL PKWY",
            "city": "DIBERVILLE",
            "state": "MS",
            "postal_code": "395403708",
            "telephone_number": "228-828-5208",
            "fax_number": "228-220-4303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10532 AUTO MALL PKWY",
            "city": "DIBERVILLE",
            "state": "MS",
            "postal_code": "395403708",
            "telephone_number": "228-828-5208",
            "fax_number": "228-220-4303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCPHERSON-RICHARDSON",
        "first_name": "CYNTHIA",
        "middle_name": "J",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-29",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "3282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00018214",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maxem Health Urgent Care Diberville
• Matthew Scott Mazara, PTA
• Rachael Elizabeth McAllister, RN
• Yostin Zambrano McKelroy, MSN, APRN, FNP-C
• Colleen J. McNulty
• Mississippi Center for Autism and Related Developmental Disabilities
• Mississippi CVS Pharmacy LLC (CVS Pharmacy #17532)
• Mississippi CVS Pharmacy LLC (CVS Pharmacy #00047)
• Michael Eugene Moffett, RPH
• Camilla Joy Moore, LPC,NCC

• Professional Counselor in D'Iberville, MS
• Providers in D'Iberville, MS by specialty
• Professional Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; 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.