Active NPI
David Ryan Richardson, LMHC
- Mental Health Counselor
- Danvers, MA
National Provider Identifier
1982944831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LMHC8870
- Practice address
- 152 Sylvan St
2ND Floor
Danvers, MA 01923-3558 - Phone
- (978) 774-6820
- NPI assigned
- Feb 28, 2013
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LMHC8870 | MA | Primary |
Addresses
Primary practice location
152 Sylvan St
2ND Floor
Danvers, MA 01923-3558
Mailing address
152 Sylvan St
2ND Floor
Danvers, MA 01923-3558
Phone (978) 774-6820
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240604003297 | MA | Practitioner - Mental Health Counselor | 6608318795 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMHC8870 | MA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Behavioral Care of Connecticut, P.C. | Current | Accepting new patients | |
| Optum Behavioral Care of Connecticut, P.C. | Current | Accepting new patients | |
| Catholic Charities | Past | Accepting new patients |
Locations
40 Shattuck Rd
Ste 250
Andover, MA 01810
Phone (603) 505-6847
500 Cummings Ctr
Ste 3100
Beverly, MA 01915
Phone (978) 716-6774
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.
-
- Counseling Psychologist
- Newburyport, MA
- NPI 1831970904
MA
-
- Clinical Social Worker
- Providence, RI
- NPI 1730972944
-
- Voluntary or Charitable Agency
- Danvers, MA
- NPI 1730403155
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703116800000",
"number": "1982944831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "152 SYLVAN ST",
"address_2": "2ND FLOOR",
"city": "DANVERS",
"state": "MA",
"postal_code": "019233558",
"telephone_number": "978-774-6820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "152 SYLVAN ST",
"address_2": "2ND FLOOR",
"city": "DANVERS",
"state": "MA",
"postal_code": "019233558",
"telephone_number": "978-774-6820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDSON",
"first_name": "DAVID",
"middle_name": "RYAN",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-02-28",
"last_updated": "2023-12-21",
"certification_date": "2023-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "LMHC8870",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Danvers, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.