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MICHELLE RICHARDSON MS
NPI 1124480504
Counselor - Professional in Rice Lake, WI

Active since March 24, 2016PECOS EnrolledAccepts Medicare Assignment
312 W KNAPP ST STE B, RICE LAKE, WI 54868(715) 836-0064(715) 836-0065 Get Directions Write a Review

NPPES record last updated: April 13, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 13, 2023, Mar 24, 2016 (2 updates tracked since 2016).

About Michelle Richardson Ms NPPES

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

MICHELLE RICHARDSON MS (NPI 1124480504) is an individual professional provider in Rice Lake, Wisconsin, licensed in Wisconsin (10294-125) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1124480504
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMICHELLE RICHARDSONCredential: MS
Location Address312 W KNAPP ST STE BRice Lake, WI 54868-1631
Mailing Address2620 Stein Blvd Ste BEau Claire, WI 54701-2674 · (715) 836-0064 · Fax (715) 836-0065
Phone(715) 836-0064
Fax(715) 836-0065
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 24, 2016
Last NPPES UpdateApril 13, 20232 updates tracked since enumeration
NPPES CertifiedApril 13, 2023
✔ NPI 1124480504 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 WI · 10294-125
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 16271-132 (WI)
312 W KNAPP ST STE B, Rice Lake, WI 54868
Open in Google Maps ↗

Other Identifiers 1

Medicaid1003150004WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Dean Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michelle Richardson Ms 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 ID6608300991
PECOS Enrollment IDI20241108002066
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 Reassignment

Medicare enrollment records show Michelle Richardson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Caillier Clinic Ltd
51 mi
Clinical Neuropsychologist
2620 STEIN BLVD
Eau Claire, WI 54701
  • Reassigned Medicare billing, Wisconsin enrollment
  • 14 clinicians in this Medicare group
NPI 1659453058 (715) 836-0064

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.

MALLORY OLSON BS
Counselor (Professional)
312 W KNAPP ST STE B
RICE LAKE, WI 54868
Barron County (715) 836-0064

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 Michelle Richardson's NPI number?

The NPI number for Michelle Richardson is 1124480504. It was assigned to this individual provider in the NPPES registry on March 24, 2016.

Where is Michelle Richardson located?

Michelle Richardson practices at 312 W Knapp St Ste B, Rice Lake, WI 54868. The listed phone number is (715) 836-0064.

What is Michelle Richardson's specialty?

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

Is Michelle Richardson enrolled in Medicare?

Yes. Michelle 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.

Which organization bills Medicare for Michelle Richardson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Richardson reassigns Medicare benefits to Caillier Clinic Ltd (Eau Claire, WI). The 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 Michelle Richardson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michelle Richardson accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Dean Health Plan, HealthPartners and Security Health Plan and 1 other insurer list Michelle Richardson 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 Michelle Richardson was last updated on April 13, 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.