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JACQUELINE RICHARDSON LPCC
NPI 1992204465
Counselor - Professional in Louisville, KY

Active since February 09, 2018PECOS Enrolled
4010 DUPONT CIR STE 419, LOUISVILLE, KY 40207(502) 409-6993(502) 409-6775 Get Directions Write a Review

NPPES record last updated: February 14, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 14, 2023, Mar 10, 2021 (2 updates tracked since 2021).

About Jacqueline Richardson Lpcc NPPES

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

JACQUELINE RICHARDSON LPCC (NPI 1992204465) is an individual professional provider in Louisville, Kentucky, licensed in Kentucky (268769) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1992204465
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJACQUELINE RICHARDSONCredential: LPCC
Location Address4010 DUPONT CIR STE 419Louisville, KY 40207-4837
Mailing Address4010 Dupont Cir Ste 419Louisville, KY 40207-4837 · (502) 409-6993 · Fax (502) 409-6775
Phone(502) 409-6993
Fax(502) 409-6775
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateFebruary 9, 2018
Last NPPES UpdateFebruary 14, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 14, 2023
✔ NPI 1992204465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in KY · 268769
4010 DUPONT CIR STE 419, Louisville, KY 40207
Open in Google Maps ↗

Other Names 1

Former Name (1)Jacqueline Fleming Lpcc

Other Identifiers 1

Other610661458KY · Tax Id

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline Richardson Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID244682102
PECOS Enrollment IDI20240117001003
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.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHN M PAPANEK LCSW
Social Worker
4010 DUPONT CIR STE 419
LOUISVILLE, KY 40207
Jefferson County (502) 409-6993
ALLISON D RECKTENWALD
Psychologist (Clinical)
4010 DUPONT CIR STE 419
LOUISVILLE, KY 40207
Jefferson County (502) 693-8191
DR. WARREN E LAMBERT III PH.D.
Psychologist (Clinical)
4010 DUPONT CIR STE 419
LOUISVILLE, KY 40207
Jefferson County (502) 409-6993
JOSEPH REESE M.S.
Psychologist (Clinical)
4010 DUPONT CIR STE 419
LOUISVILLE, KY 40207
Jefferson County (502) 409-6993
TESSA JOHNSTON
Counselor (Mental Health)
4010 DUPONT CIR STE 419
LOUISVILLE, KY 40207
Jefferson County (502) 409-6993
MEGAN BONNER CSW
Social Worker (Clinical)
4010 DUPONT CIR STE 419
LOUISVILLE, KY 40207
Jefferson County (502) 409-6993
BRITTANY M COOK LPAT, ATR-BC, LPCC
Counselor (Professional)
4010 DUPONT CIR STE 419
LOUISVILLE, KY 40207
Jefferson County (502) 409-6993
MERIDIAN BEHAVIORAL HEALTH, INC
Clinic/Center (Mental Health (Including Community Mental Health Center))
4010 DUPONT CIR STE 419
LOUISVILLE, KY 40207
Jefferson County (502) 653-9019

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 Jacqueline Richardson's NPI number?

The NPI number for Jacqueline Richardson is 1992204465. It was assigned to this individual provider in the NPPES registry on February 9, 2018. The provider is also known as Jacqueline Fleming Lpcc.

Where is Jacqueline Richardson located?

Jacqueline Richardson practices at 4010 Dupont Cir Ste 419, Louisville, KY 40207. The listed phone number is (502) 409-6993.

What is Jacqueline Richardson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jacqueline Richardson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jacqueline Richardson was last updated on February 14, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.