Active NPI
Tanya Lynette Richburg, CDCA
- Addiction (Substance Use Disorder) Counselor
- Euclid, OH
National Provider Identifier
1972090454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 164162
- Practice address
- 20611 Euclid Ave
Euclid, OH 44117-1521 - Phone
- (216) 859-2727
- NPI assigned
- Apr 19, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 164162 | OH | Primary |
Addresses
Primary practice location
20611 Euclid Ave
Euclid, OH 44117-1521
Mailing address
16314 Elberta Ave
Cleveland, OH 44128-3744
Phone (216) 301-4807
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
| License | State | Type | Specialty |
|---|---|---|---|
| 164162 | OH | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687132800000",
"number": "1972090454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16314 ELBERTA AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441283744",
"telephone_number": "216-301-4807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20611 EUCLID AVE",
"city": "EUCLID",
"state": "OH",
"postal_code": "441171521",
"telephone_number": "216-859-2727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHBURG",
"first_name": "TANYA",
"middle_name": "LYNETTE",
"name_prefix": "Ms.",
"credential": "CDCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-19",
"last_updated": "2023-06-19",
"certification_date": "2023-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "164162",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Euclid, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.