Active NPI
Rita Jean Richardson, MED LPCMHSP
- Professional Counselor
- Erwin, TN
National Provider Identifier
1972607679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1721
- Practice address
- 218 N Main Ave
Erwin, TN 37650 - Phone
- (423) 743-1470
- Fax
- (423) 743-1472
- NPI assigned
- Sep 12, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LPC1721 | ||
| Professional Counselor | 101YP2500X | 1721 | TN | Primary |
Addresses
Primary practice location
218 N Main Ave
Erwin, TN 37650
Mailing address
1167 Spratlin Park Dr
Gray, TN 37615-6205
Phone (423) 467-3600
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4098444 | Other | MAGELLAN SUMMIT | |
| 351654200 | Other | DOL WORKERS COMP | |
| 010150132 | Medicaid | VA | |
| 4098444 | Other | MAGELLAN NAVIGATOR | |
| 620582605 | Other | THREE RIVERS PROVI GROUP | |
| 4098444 | Other | MAGELLAN PINNACLE |
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
- Credentials
- Master of Education
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570752000000",
"number": "1972607679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1167 SPRATLIN PARK DR",
"city": "GRAY",
"state": "TN",
"postal_code": "376156205",
"telephone_number": "423-467-3600",
"fax_number": "423-467-3644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "218 N MAIN AVE",
"city": "ERWIN",
"state": "TN",
"postal_code": "37650",
"telephone_number": "423-743-1470",
"fax_number": "423-743-1472"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDSON",
"first_name": "RITA",
"middle_name": "JEAN",
"name_prefix": "Ms.",
"credential": "MED LPCMHSP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-12",
"last_updated": "2019-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": "LPC1721",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TN",
"license": "1721",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN SUMMIT",
"identifier": "4098444",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DOL WORKERS COMP",
"identifier": "351654200",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010150132",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN NAVIGATOR",
"identifier": "4098444",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THREE RIVERS PROVI GROUP",
"identifier": "620582605",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN PINNACLE",
"identifier": "4098444",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Erwin, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.