MR. RICHARD BRENT WADSWORTH JR. LAPC
NPI 1104531599
Counselor - Mental Health in Villa Rica, GA

Q: What is Richard Wadsworth's NPI number?

The NPI number for Richard Wadsworth is 1104531599. It was assigned to this individual provider in the NPPES registry on January 19, 2023.

Q: What is Richard Wadsworth's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Richard Wadsworth was last updated on January 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since January 19, 2023

101 QUARTZ DR STE 201, VILLA RICA, GA 30180(770) 812-3839 Get Directions Write a Review

NPPES record last updated: January 19, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mr. Richard Brent Wadsworth Jr. Lapc NPPES

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

MR. RICHARD BRENT WADSWORTH JR. LAPC (NPI 1104531599) is an individual mental health provider in Villa Rica, Georgia, licensed in Georgia (APC005998) and active in the NPI registry since January 2023.

NPPES Registry Identity

NPI1104531599

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameMR. RICHARD BRENT WADSWORTH JR.Credential: LAPC

Location Address101 QUARTZ DR STE 201Villa Rica, GA 30180-3256

Mailing Address2022 Dartmoth WayVilla Rica, GA 30180-5860 · (404) 829-9722

Phone(770) 812-3839

Sole ProprietorYes

Enumeration DateJanuary 19, 2023

NPPES CertifiedJanuary 19, 2023

✔ NPI 1104531599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in GA · APC005998

101 QUARTZ DR STE 201, Villa Rica, GA 30180

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Other Identifiers 1

Medicaid17844GA

Other Providers at the Same Location NPPES 3

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

ANGELLA E HENRY NURSE PRACTITIONER

Nurse Practitioner (Family)

101 QUARTZ DR STE 201
VILLA RICA, GA 30180

Carroll County (770) 812-3839

DR. SHARON TUCKETT MD

Internal Medicine

101 QUARTZ DR STE 201
VILLA RICA, GA 30180

Carroll County (770) 812-3839

MRS. CHARIS RE'NEE WARWICK-DAVIS THERAPIST

Case Manager/Care Coordinator

101 QUARTZ DR STE 201
VILLA RICA, GA 30180

Carroll County (678) 333-4550

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 Wadsworth's NPI number?

The NPI number for Richard Wadsworth is 1104531599. It was assigned to this individual provider in the NPPES registry on January 19, 2023.

Where is Richard Wadsworth located?

Richard Wadsworth practices at 101 Quartz Dr Ste 201, Villa Rica, GA 30180. The listed phone number is (770) 812-3839.

What is Richard Wadsworth's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Richard Wadsworth was last updated on January 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.