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NICOLE RICHARDSON LAC
NPI 1609747666
Counselor - Mental Health in Phoenix, AZ

Active since September 15, 2025
16601 N 40TH ST STE 216, PHOENIX, AZ 85032(480) 788-8466 Get Directions Write a Review

NPPES record last updated: October 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicole Richardson Lac NPPES

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

NICOLE RICHARDSON LAC (NPI 1609747666) is an individual mental health provider in Phoenix, Arizona, licensed in Arizona (LAC-23662) and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1609747666
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameNICOLE RICHARDSONCredential: LAC
Location Address16601 N 40TH ST STE 216Phoenix, AZ 85032-3354
Mailing Address16601 N 40th St Ste 216Phoenix, AZ 85032-3354 · (480) 788-8466
Phone(480) 788-8466
Sole ProprietorNo
Enumeration DateSeptember 15, 2025
Last NPPES UpdateOctober 24, 2025
NPPES CertifiedSeptember 14, 2025
✔ NPI 1609747666 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 AZ · LAC-23662
16601 N 40TH ST STE 216, Phoenix, AZ 85032
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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.

MICHELLE ELAINE SAINT MC
Counselor (Mental Health)
16601 N 40TH ST STE 216
PHOENIX, AZ 85032
Maricopa County (480) 788-8466
MARLENA BEATRICE STANFORD LMSW
Social Worker
16601 N 40TH ST STE 216
PHOENIX, AZ 85032
Maricopa County (480) 788-8466
ELKA MUSHKA CUBACUB MSW
Social Worker (Clinical)
16601 N 40TH ST STE 216
PHOENIX, AZ 85032
Maricopa County (623) 473-1145
JACOB RYNE JOHNSON COUNSELOR, PROF
Counselor (Professional)
16601 N 40TH ST STE 216
PHOENIX, AZ 85032
Maricopa County (623) 469-0606
SHAWNTA MCDONALD
Counselor (Professional)
16601 N 40TH ST STE 216
PHOENIX, AZ 85032
Maricopa County (480) 788-8466
MORDECHAI GOTTLIEB LMSW
Social Worker (Clinical)
16601 N 40TH ST STE 216
PHOENIX, AZ 85032
Maricopa County (480) 447-9115
MRS. CARLY REINA MSN, APRN, PMHNP-C
Nurse Practitioner (Psychiatric/Mental Health)
16601 N 40TH ST STE 216
PHOENIX, AZ 85032
Maricopa County (314) 335-9388
HEATHER ANN HARVEY APRN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
16601 N 40TH ST STE 216
PHOENIX, AZ 85032
Maricopa County (602) 980-2164

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 Nicole Richardson's NPI number?

The NPI number for Nicole Richardson is 1609747666. It was assigned to this individual provider in the NPPES registry on September 15, 2025.

Where is Nicole Richardson located?

Nicole Richardson practices at 16601 N 40th St Ste 216, Phoenix, AZ 85032. The listed phone number is (480) 788-8466.

What is Nicole Richardson'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 Nicole Richardson was last updated on October 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.