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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NICOLE RICHARDSON ME
NPI 1801926803
Counselor - Mental Health in Fort Drum, NY

Active since March 07, 2007
11050 MOUNT BELVEDERE BLVD, FORT DRUM, NY 13602(153) 772-2873 Get Directions Write a Review

NPPES record last updated: June 22, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nicole Richardson Me NPPES

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

NICOLE RICHARDSON ME (NPI 1801926803) is an individual mental health provider in Fort Drum, New York, licensed in Indiana (39001931A) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1801926803
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameNICOLE RICHARDSONCredential: ME
Location Address11050 MOUNT BELVEDERE BLVDFort Drum, NY 13602-5438
Mailing Address11050 Mount Belvedere BlvdFort Drum, NY 13602-5438 · (315) 772-2873
Phone(153) 772-2873
Sole ProprietorNo
Enumeration DateMarch 7, 2007
Last NPPES UpdateJune 22, 2026
NPPES CertifiedJune 22, 2026
✔ NPI 1801926803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in IN · 39001931A
Also ListedCounselorTaxonomy 101Y00000X · License 39001931A (IN)
11050 MOUNT BELVEDERE BLVD, Fort Drum, NY 13602
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Other Identifiers 1

Medicaid200475040IN

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.

DR. LAUREL JARVIS PH.D.
Psychologist (Clinical)
11050 MOUNT BELVEDERE BLVD, BEHAVIORAL HEALTH DEPARTMENT, MEDDAC
FORT DRUM, NY 13602
Jefferson County (315) 772-4850
DAVID LEWIS KEYES RPA-C
Physician Assistant
11050 MOUNT BELVEDERE BLVD, USA MEDDAC CREDENTIALS
FORT DRUM, NY 13602
Jefferson County (315) 772-5508
BRADY SIMPKINS PA-C
Physician Assistant
11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY 13602
Jefferson County (802) 258-0301
MS. MARY ANGELA MACCULLOCH LCSW
Social Worker (Clinical)
11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY 13602
Jefferson County (315) 772-7624
DR. ISAAC P MILLS DO
Family Medicine
11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY 13602
Jefferson County (315) 772-2778
SAVITRI MOTAPARTHI M.D.
Pediatrics
11050 MOUNT BELVEDERE BLVD, USA MEDDAC /CREDENTIALS
FORT DRUM, NY 13602
Jefferson County (315) 772-4025
DR. LUTHER ROSWELL WIEST D.O.
Family Medicine
11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY 13602
Jefferson County (315) 772-3679
MADISON GERMAN LCSW
Social Worker (Clinical)
11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY 13602
Jefferson County (315) 772-2778

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 1801926803. It was assigned to this individual provider in the NPPES registry on March 7, 2007.

Where is Nicole Richardson located?

Nicole Richardson practices at 11050 Mount Belvedere Blvd, Fort Drum, NY 13602. The listed phone number is (153) 772-2873.

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 June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 58 days 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.