WHITLEY RICHARDSON
NPI 1659828796
Counselor - Mental Health in Jonesboro, AR

Q: What is Whitley Richardson's NPI number?

The NPI number for Whitley Richardson is 1659828796. It was assigned to this individual provider in the NPPES registry on September 7, 2016.

Q: What is Whitley Richardson's specialty?

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

Active since September 07, 2016PECOS EnrolledAccepts Medicare Assignment

2200 E MATTHEWS AVE, JONESBORO, AR 72401(870) 972-1268(870) 934-0847 Get Directions Write a Review

NPPES record last updated: February 7, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 7, 2024, Feb 2, 2021, Aug 26, 2019 and 1 more (4 updates tracked since 2018).

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About Whitley Richardson NPPES

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

WHITLEY RICHARDSON (NPI 1659828796) is an individual mental health provider in Jonesboro, Arkansas, licensed in Arkansas (A1804040) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1659828796

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameWHITLEY RICHARDSON

Location Address2200 E MATTHEWS AVEJonesboro, AR 72401-4347

Mailing Address2809 Forest Home RdJonesboro, AR 72401-5320 · (866) 972-1268

Phone(870) 972-1268

Fax(870) 934-0847

Sole ProprietorYes

Medical School CMSOtherGraduated 2017

Enumeration DateSeptember 7, 2016

Last NPPES UpdateFebruary 7, 20244 updates tracked since enumeration

NPPES CertifiedFebruary 7, 2024

✔ NPI 1659828796 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 AR · A1804040

2200 E MATTHEWS AVE, Jonesboro, AR 72401

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Whitley Richardson 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 ID7416396775

PECOS Enrollment IDI20240418003847

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychiatric diagnostic evaluation 90791

A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.

87 services87 patients

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.

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