DUSTIN RICHARDSON LCPC
NPI 1073052445
Counselor - Professional in Glen Burnie, MD

Active since February 18, 2017PECOS EnrolledAccepts Medicare Assignment
1406 CRAIN HWY S STE 104, GLEN BURNIE, MD 21061(410) 766-6624(410) 766-0240 Get Directions Write a Review

NPPES record last updated: February 18, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dustin Richardson Lcpc NPPES

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

DUSTIN RICHARDSON LCPC (NPI 1073052445) is an individual professional provider in Glen Burnie, Maryland, licensed in Maryland (LC7682) and active in the NPI registry since February 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1073052445
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameDUSTIN RICHARDSONCredential: LCPC
Location Address1406 CRAIN HWY S STE 104Glen Burnie, MD 21061-4086
Mailing Address3643 Childress TerBurtonsville, MD 20866-2038 · (410) 938-0636 · Fax (410) 766-0240
Fax(410) 766-0240
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateFebruary 18, 2017
NPI 1073052445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in MD · LC7682
1406 CRAIN HWY S STE 104, Glen Burnie, MD 21061

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dustin Richardson Lcpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID345699088
PECOS Enrollment IDI20231207000436
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.

Other Providers at the Same Location NPPES 9

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

Counselor (Professional)
1406 CRAIN HWY S STE 104
GLEN BURNIE, MD 21061
Counselor (Professional)
1406 CRAIN HWY S STE 104
GLEN BURNIE, MD 21061
Social Worker
1406 CRAIN HWY S STE 104
GLEN BURNIE, MD 21061
Community/Behavioral Health
1406 CRAIN HWY S STE 104
GLEN BURNIE, MD 21061
Counselor (Addiction (Substance Use Disorder))
1406 CRAIN HWY S STE 104
GLEN BURNIE, MD 21061
Social Worker (Clinical)
1406 CRAIN HWY S STE 104
GLEN BURNIE, MD 21061
Social Worker (Clinical)
1406 CRAIN HWY S STE 104
GLEN BURNIE, MD 21061
Social Worker (Clinical)
1406 CRAIN HWY S STE 104
GLEN BURNIE, MD 21061

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 Dustin Richardson's NPI number?

The NPI number for Dustin Richardson is 1073052445. It was assigned to this individual provider in the NPPES registry on February 18, 2017.

Where is Dustin Richardson located?

Dustin Richardson practices at 1406 Crain Hwy S Ste 104, Glen Burnie, MD 21061. The listed phone number is (410) 766-6624.

What is Dustin Richardson's specialty?

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

Is Dustin Richardson enrolled in Medicare?

Yes. Dustin Richardson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Dustin Richardson was last updated on February 18, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.