1. Home
  2. Directory
  3. Oregon
  4. Medford
  5. Counselor
  6. NPI Profile

CARL RICHARDSON QMHA
NPI 1275212904
Counselor - Mental Health in Medford, OR

Active since July 11, 2023
200 BEATTY ST, MEDFORD, OR 97501(541) 476-2373 Get Directions Write a Review

NPPES record last updated: July 11, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carl Richardson Qmha NPPES

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

CARL RICHARDSON QMHA (NPI 1275212904) is an individual mental health provider in Medford, Oregon and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1275212904
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameCARL RICHARDSONCredential: QMHA
Location Address200 BEATTY STMedford, OR 97501-5811
Mailing Address1215 Sw G StGrants Pass, OR 97526-2544 · (541) 476-2373
Phone(541) 476-2373
Sole ProprietorNo
Enumeration DateJuly 11, 2023
NPPES CertifiedJuly 11, 2023
✔ NPI 1275212904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
200 BEATTY ST, Medford, OR 97501
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

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.

KATHERINE LEONIS RN
Registered Nurse
200 BEATTY ST
MEDFORD, OR 97501
Jackson County (541) 476-2373
SCOTT WILLISTON MS, QMHP
Counselor (Professional)
200 BEATTY ST
MEDFORD, OR 97501
Jackson County (541) 476-3302
GENEVIEVE KLAM M.S.
Counselor (Mental Health)
200 BEATTY ST
MEDFORD, OR 97501
Jackson County (541) 476-2373
KYLE BRENT ODESHA
Case Manager/Care Coordinator
200 BEATTY ST
MEDFORD, OR 97501
Jackson County (541) 476-2373
PANDORA MAE HAMSA
Counselor (Mental Health)
200 BEATTY ST
MEDFORD, OR 97501
Jackson County (541) 476-2373
SHELBY JANE HEYER PSS
Peer Specialist
200 BEATTY ST
MEDFORD, OR 97501
Jackson County (541) 476-2373
MAYUMI OTTMAN QMHA
Counselor (Mental Health)
200 BEATTY ST
MEDFORD, OR 97501
Jackson County (541) 476-2373
KAYLA ROSE RASSON QMHA
Counselor (Mental Health)
200 BEATTY ST
MEDFORD, OR 97501
Jackson County (541) 476-2373

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 Carl Richardson's NPI number?

The NPI number for Carl Richardson is 1275212904. It was assigned to this individual provider in the NPPES registry on July 11, 2023.

Where is Carl Richardson located?

Carl Richardson practices at 200 Beatty St, Medford, OR 97501. The listed phone number is (541) 476-2373.

What is Carl Richardson's specialty?

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

What insurance does Carl Richardson accept?

Health plans from Moda Health Plan, Inc. list Carl 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 Carl Richardson was last updated on July 11, 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.