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CANDICE SHAVON RICHARDSON LMFT
NPI 1629460290
Marriage & Family Therapist in Santa Rosa, CA

Active since February 19, 2015PECOS Enrolled
5119 LISA WAY, SANTA ROSA, CA 95409(707) 888-2048 Get Directions Write a Review

NPPES record last updated: February 17, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 17, 2025, Feb 11, 2022 (2 updates tracked since 2022).

About Candice Shavon Richardson Lmft NPPES

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

CANDICE SHAVON RICHARDSON LMFT (NPI 1629460290) is an individual marriage & family therapist in Santa Rosa, California, licensed in California (LMFT85376) and active in the NPI registry since February 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629460290
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameCANDICE SHAVON RICHARDSONCredential: LMFT
Location Address5119 LISA WAYSanta Rosa, CA 95409-3744
Mailing AddressPo Box 9329Santa Rosa, CA 95405-1329 · (707) 280-3895
Phone(707) 888-2048
Sole ProprietorYes
Enumeration DateFebruary 19, 2015
Last NPPES UpdateFebruary 17, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2025
✔ NPI 1629460290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Licenses✔ Licensed in CA · LMFT85376✔ Licensed in TX · LMFT202549
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
5119 LISA WAY, Santa Rosa, CA 95409
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Candice Shavon Richardson Lmft 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.

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 Candice Richardson's NPI number?

The NPI number for Candice Richardson is 1629460290. It was assigned to this individual provider in the NPPES registry on February 19, 2015.

Where is Candice Richardson located?

Candice Richardson practices at 5119 Lisa Way, Santa Rosa, CA 95409. The listed phone number is (707) 888-2048.

What is Candice Richardson's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Candice Richardson enrolled in Medicare?

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

What insurance does Candice Richardson accept?

Health plans from Blue Cross and Blue Shield of Texas list Candice 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 Candice Richardson was last updated on February 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.