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DR. MICHAEL DAVID RICHARDSON ED.D, LCPC, CRADC
NPI 1154510196
Counselor - Professional in New London, MO

Active since October 16, 2007PECOS Enrolled
12496 OLD 79, NEW LONDON, MO 63459(573) 248-2051(573) 248-2051 Get Directions Write a Review

NPPES record last updated: July 8, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Michael David Richardson Ed.d, Lcpc, Cradc NPPES

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

DR. MICHAEL DAVID RICHARDSON ED.D, LCPC, CRADC (NPI 1154510196) is an individual professional provider in New London, Missouri, licensed in Missouri (001395) and active in the NPI registry since October 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154510196
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameDR. MICHAEL DAVID RICHARDSONCredential: ED.D, LCPC, CRADC
Location Address12496 OLD 79New London, MO 63459-2741
Mailing Address12496 Old 79New London, MO 63459-2741 · (573) 248-2051 · Fax (573) 248-2051
Phone(573) 248-2051
Fax(573) 248-2051
Sole ProprietorYes
Enumeration DateOctober 16, 2007
Last NPPES UpdateJuly 8, 2011
✔ NPI 1154510196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in MO · 001395✔ Licensed in IL · 180.002197
12496 OLD 79, New London, MO 63459
Open in Google Maps ↗

Other Identifiers 1

Medicaid498873918MO

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Michael David Richardson Ed.d, Lcpc, Cradc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

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

TRESA HARRIS RICHARDSON MSW, LCSW, ACSW
Social Worker (Clinical)
12496 OLD 79
NEW LONDON, MO 63459
Ralls County (573) 248-2051

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 Michael Richardson's NPI number?

The NPI number for Michael Richardson is 1154510196. It was assigned to this individual provider in the NPPES registry on October 16, 2007.

Where is Michael Richardson located?

Michael Richardson practices at 12496 Old 79, New London, MO 63459. The listed phone number is (573) 248-2051.

What is Michael Richardson's specialty?

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

Is Michael Richardson enrolled in Medicare?

Yes. Michael Richardson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michael Richardson was last updated on July 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.