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RICHARD HISMAN
NPI 1053768713
Counselor - Professional in Killingly, CT

Active since May 23, 2016PECOS Enrolled
535 MAIN ST STE 1, KILLINGLY, CT 06239(860) 774-6295(860) 779-6295 Get Directions Write a Review

NPPES record last updated: June 22, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 22, 2021, Mar 1, 2018 (2 updates tracked since 2018).

About Richard Hisman NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RICHARD HISMAN (NPI 1053768713) is an individual professional provider in Killingly, Connecticut, licensed in Connecticut (003369) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1053768713
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameRICHARD HISMAN
Location Address535 MAIN ST STE 1Killingly, CT 06239-2169
Mailing Address535 Main St Ste 1Killingly, CT 06239-2169 · (860) 774-6295 · Fax (860) 774-6295
Phone(860) 774-6295
Fax(860) 779-6295
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateMay 23, 2016
Last NPPES UpdateJune 22, 20212 updates tracked since enumeration
NPPES CertifiedJune 22, 2021
✔ NPI 1053768713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CT · 003369
Also ListedCounselorTaxonomy 101Y00000X
535 MAIN ST STE 1, Killingly, CT 06239
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Richard Hisman is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3870936313
PECOS Enrollment IDI20240212002351
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Richard Hisman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Inlight Professional Counseling Services LLC
0.9 mi
Marriage & Family Therapist
70 COTTAGE ST
Danielson, CT 06239
  • Reassigned Medicare billing, Connecticut enrollment
  • 12 clinicians in this Medicare group
NPI 1619284593 (860) 655-2048
Parham Counseling Services, LLC
23 mi
Mental Health
99 MAIN ST UNIT 3-A3
Norwich, CT 06360
  • Reassigned Medicare billing, Connecticut enrollment
  • 5 clinicians in this Medicare group
NPI 1750893905 (860) 235-9269

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COGNITIVE THERAPIES OF DANIELSON LLC
Community/Behavioral Health
535 MAIN ST STE 1
KILLINGLY, CT 06239
Northeastern Connecticut Planning Region (860) 774-6295

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Richard Hisman's NPI number?

The NPI number for Richard Hisman is 1053768713. It was assigned to this individual provider in the NPPES registry on May 23, 2016.

Where is Richard Hisman located?

Richard Hisman practices at 535 Main St Ste 1, Killingly, CT 06239. The listed phone number is (860) 774-6295.

What is Richard Hisman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Richard Hisman enrolled in Medicare?

Yes. Richard Hisman is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Richard Hisman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Richard Hisman reassigns Medicare benefits to 2 organizations: Inlight Professional Counseling Services LLC (Danielson, CT) and Parham Counseling Services, LLC (Norwich, CT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Richard Hisman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Richard Hisman accept?

Health plans from Anthem Blue Cross and Blue Shield list Richard Hisman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Richard Hisman was last updated on June 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.