MRS. MELODY JOY RICHARDS (NPI# 1104121151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104121151 |
Entity Type | Individual |
Full Name | MRS. MELODY JOY RICHARDS |
Credential | MA, LPC |
Practice Address |
13210 45th Ave North Plymouth MN 55442 |
Practice Telephone | 6126160224 |
Practice Fax Number | 6126160224 |
Mailing Telephone | 6126160224 |
Mailing Fax Number | 6126160224 |
Enumeration Date | 2011-01-24 |
Last Update Date | 2011-01-24 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101Y00000X | Counselor | LPC00958 | MN | Behavioral Health & Social Service Providers |
Street Address |
13210 45TH AVE NORTH |
City | PLYMOUTH |
State | MN |
Zip Code | 55442 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831581172 | Susan Anderson | Pharmacist | 4005 Vinewood Lane N, Walgreens 02767, Plymouth, MN 55442 | 2015-02-24 |
1912207556 | Pro Medical Services, Inc. | Home Health | 4190 Vinewood Lane N, Ste #111, Plymouth, MN 55442 | 2010-10-29 |
1245564269 | Angela Mae | Massage Therapist | 4455 North Highway 169 Suite 200, Four Seasons Family Chiropractic Clinic, Plymouth, MN 55442 | 2009-09-23 |
1518174218 | Four Seasons Family Chiropractic Clinic | Chiropractor | 4455 Hwy 169 N, Ste 200, Plymouth, MN 55442 | 2007-05-16 |
1003037235 | Owen W Johnson | Pharmacist | 4445 N. Nathan Lane, Plymouth, MN 55442 | 2007-05-02 |
1750502621 | Michelle Anne Schulz | Pharmacist | 4445 Nathan Lane N, Plymouth, MN 55442 | 2007-05-01 |
1336149095 | Michael Bradley Shinder | Chiropractor | 4455 N Hwy 169, Suite 200, Plymouth, MN 55442 | 2005-07-26 |
1639549025 | Bendu Seth | Massage Therapist | 7710 Brooklyn Blvd, Suite 201e, Brooklyn Park, MN 55442 | 2015-09-29 |
1902286222 | Bao Yang | Massage Therapist | 7710 Brooklyn Blvd, Brooklyn Park, MN 55442 | 2015-06-02 |
1144421835 | Valentini Chiropractic | Chiropractor | 4455 N Hwy 169, Suite 200, Plymouth, MN 55442 | 2007-05-30 |
Find all providers in zip 55442 |
Taxonomy Code | 101Y00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487272787 | Alec Medeiros | Counselor | 16 Chickadee Way, Plymouth, MA 02360-1659 | 2020-07-13 |
1215569991 | Jessica Lynn Payne | Counselor | 260 S Union St, Plymouth, MI 48170-1612 | 2020-02-10 |
1699316117 | Kevin Louis Avitabile | Counselor | 62 Nautical Way, Plymouth, MA 02360-8611 | 2019-10-06 |
1194383323 | Passera Counseling, Pllc | Counselor | 42327 Ann Arbor Rd E, Plymouth, MI 48170-4356 | 2019-06-03 |
1316439763 | Aman Patel | Counselor | 200 Carver Rd, Plymouth, MA 02360-5210 | 2018-06-01 |
1255867230 | Sandra Somerville | Counselor | 933 Long Pond Rd, Plymouth, MA 02360-2635 | 2017-05-11 |
1346797438 | Barbara Lydon | Counselor | 118 Long Pond Rd Ste 106, Plymouth, MA 02360-2662 | 2016-09-06 |
1679020234 | Lisa Stringer | Counselor | 22 Jasons Lane, Plymouth, MA 02360 | 2016-09-01 |
1194173948 | William David Hunt IIi | Counselor | 164 Raymond Rd, Plymouth, MA 02360-2357 | 2016-06-01 |
1972959872 | Gregory Dominick Sorensen | Counselor | 18 Hopkins Road, Plymouth, MA 02360-3547 | 2016-05-10 |
Find all providers in PLYMOUTH |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.