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REGINALD RICHARDSON
NPI 1114750437
Peer Specialist in Roseburg, OR

Active since August 22, 2024
621 W MADRONE ST, ROSEBURG, OR 97470(541) 672-2691 Get Directions Write a Review

NPPES record last updated: August 22, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Reginald Richardson NPPES

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

REGINALD RICHARDSON (NPI 1114750437) is an individual peer specialist in Roseburg, Oregon and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1114750437
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameREGINALD RICHARDSON
Location Address621 W MADRONE STRoseburg, OR 97470-3090
Mailing AddressPo Box 1121Roseburg, OR 97470-0254 · (541) 672-2691
Phone(541) 672-2691
Sole ProprietorNo
Enumeration DateAugust 22, 2024
NPPES CertifiedAugust 22, 2024
✔ NPI 1114750437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

621 W MADRONE ST, Roseburg, OR 97470
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Other Providers at the Same Location NPPES 20

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

TONYA L HALL LCSW
Social Worker (Clinical)
621 W MADRONE ST
ROSEBURG, OR 97470
Douglas County (541) 440-3532
MR. WINSLOW NEEL AZPEITIA MSW
Social Worker (Clinical)
621 W MADRONE ST
ROSEBURG, OR 97470
Douglas County (541) 440-3532
MR. DALE EDWARD WILLIAMS MC, LPC
Counselor (Mental Health)
621 W MADRONE ST
ROSEBURG, OR 97470
Douglas County (541) 440-3532
COUNTY OF DOUGLAS
Public Health or Welfare
621 W MADRONE ST
ROSEBURG, OR 97470
Douglas County (541) 440-3571
COUNTY OF DOUGLAS
Community/Behavioral Health
621 W MADRONE ST
ROSEBURG, OR 97470
Douglas County (541) 440-3532
COUNTY OF DOUGLAS
Public Health or Welfare
621 W MADRONE ST
ROSEBURG, OR 97470
Douglas County (541) 440-3571
COUNTY OF DOUGLAS
Public Health or Welfare
621 W MADRONE ST
ROSEBURG, OR 97470
Douglas County (541) 440-3571
MS. SHERYL LYNN ELLIOTT MSW
Social Worker (Clinical)
621 W MADRONE ST
ROSEBURG, OR 97470
Douglas County (541) 440-3532

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 Reginald Richardson's NPI number?

The NPI number for Reginald Richardson is 1114750437. It was assigned to this individual provider in the NPPES registry on August 22, 2024.

Where is Reginald Richardson located?

Reginald Richardson practices at 621 W Madrone St, Roseburg, OR 97470. The listed phone number is (541) 672-2691.

What is Reginald Richardson's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Reginald Richardson was last updated on August 22, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.