JEFFREY D RICHARDSON (NPI# 1386988293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386988293 |
| Entity Type | Individual |
| Full Name | JEFFREY D RICHARDSON |
| Credential | CSAC |
| Practice Address |
757 S Main St Suite 8 Fond Du Lac WI 54935-5739 |
| Mailing Address |
W175n11120 Stonewood Dr Germantown WI 53022-6511 |
| Practice Telephone | 9207319798 |
| Practice Fax Number | 9207311097 |
| Mailing Telephone | 2623455560 |
| Mailing Fax Number | 2623455531 |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2012-11-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 15702-132 | WI | Behavioral Health & Social Service Providers |
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
15702-132 | WI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760775845 | Jeffrey Ryan Richardson | Dentist | 3401 W Esplanade Ave S Ste 2, Metairie, LA 70002-3423 | 2011-05-23 |
| 1568454171 | Jeffrey R Richardson | Obstetrics & Gynecology | 4482 Market St, Ste 410, Ventura, CA 93003-7780 | 2005-08-19 |
| 1861494346 | Jeffrey Francis Richardson | Specialist | 5780 Peachtree Dunwoody Rd Ne, Suite 295, Atlanta, GA 30342-1554 | 2005-08-15 |
| 1548261977 | Jeffrey B Richardson | Dermatology | 2333 Ring Rd, Elizabethtown, KY 42701-9162 | 2005-08-09 |
| 1528621380 | Jeffrey Kiel Richardson | Counselor | 204 Hampton Dr, Venice, CA 90291-8633 | 2019-04-17 |
| 1932507126 | Jeffrey Wayne Richardson | Counselor | 135 Washington St, Taunton, MA 02780-2582 | 2014-12-20 |
| 1245548007 | Jeffrey Edward Richardson | Occupational Therapist | 1801 Alabama Ave, Great Lakes, IL 60088-4246 | 2010-09-15 |
| 1316089527 | Jeffrey Richardson | Social Worker | 1925 Greenspring Dr, Timonium, MD 21093-4128 | 2007-02-13 |
| 1356453278 | Jeffrey D Richardson | Physical Therapist | 223 Cibeque Circle Road, San Carlos, AZ 85550-0208 | 2006-08-31 |
| 1194767343 | Jeffrey Michael Richardson | Internal Medicine | 2112 Dundalk Ave, Baltimore, MD 21222-3714 | 2006-06-12 |
| Street Address |
757 S MAIN ST SUITE 8 |
| City | FOND DU LAC |
| State | WI |
| Zip Code | 54935-5739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205905908 | Wisconsin Lutheran Child & Family Service Inc | Counselor | 757 S Main St, Suite 8, Fond Du Lac, WI 54935-5739 | 2006-11-07 |
| 1043553423 | Ruth Alicia Sobeck | Marriage & Family Therapist | 757 S Main St, Suite 8, Fond Du Lac, WI 54935-5708 | 2013-04-03 |
| 1700084332 | Quality Cab LLC | Taxi | 757 S Main St, Suite 6, Fond Du Lac, WI 54935-5739 | 2007-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609482249 | Keziah Sherri Love | Counselor | W390 Wi-23, Fond Du Lac, WI 54935 | 2020-09-18 |
| 1891341988 | Cynthia Louise Singleton | Nurse Practitioner | 16 E 13th St., Fond Du Lac, WI 54935 | 2019-08-14 |
| 1083183297 | Elena Alexandra Giese | Nurse Practitioner | 430 E. Division St, Fond Du Lac, WI 54935 | 2018-11-16 |
| 1669963740 | Elizabeth Anne Machi | Student in an Organized Health Care Education/Training Program | 885 Western Ave Ste 300, Fond Du Lac, WI 54935 | 2018-05-23 |
| 1184150021 | Jordan Moehn | Specialist/Technologist | 633 Prairie Pkwy, Fond Du Lac, WI 54935 | 2017-05-11 |
| 1467856336 | Chuentao Ho | Specialist/Technologist | 45 South National Ave., Fond Du Lac, WI 54935 | 2014-10-21 |
| 1437587961 | Paula Seeley | Nurse Practitioner | 63 West Pioneer Rd, Fond Du Lac, WI 54935 | 2013-10-18 |
| 1144516030 | Bonnie Kay Mallon | Registered Nurse | 118 E 9th St, Fond Du Lac, WI 54935 | 2011-06-20 |
| 1770885600 | Holly Shepard | Counselor | 23 W Scott St., Fond Du Lac, WI 54935 | 2010-11-29 |
| 1437479110 | Ruth Marie Bohn | Occupational Therapy Assistant | 244 North Macy Street, Fond Du Lac, WI 54935 | 2010-06-04 |
| Find all providers in zip 54935 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417427824 | Bethany Krofta | Counselor | 23 W Scott St # At, Fond Du Lac, WI 54935-2342 | 2018-11-28 |
| 1942675236 | Chrystal Stephany | Counselor | N7640 Cty Rd Wh, Ste 200, Fond Du Lac, WI 54935-5493 | 2015-12-11 |
| 1598143059 | Wisconsin Lutheran Child & Family Services, Inc | Counselor | 475 E Merrill Ave, Fond Du Lac, WI 54935-3749 | 2015-05-15 |
| 1992960017 | Jamie Lynn Renard | Counselor | 23 W. Scott St., Fond Du Lac, WI 54935 | 2008-07-29 |
| 1194891994 | Stephen H Roberts | Counselor | 40 Camelot Drive, Fond Du Lac, WI 54935 | 2006-11-27 |
| 1710534748 | Carin Lynn Fuerstenberg | Counselor | 23 W Scott St, Fond Du Lac, WI 54935-2342 | 2019-08-23 |
| 1164077178 | Samantha J Schaefer | Counselor | 430 E Division St, Fond Du Lac, WI 54935-4560 | 2019-08-06 |
| 1568016699 | Lindsey Rasmussen | Counselor | 430 E Division St, Fond Du Lac, WI 54935-4560 | 2019-07-26 |
| 1619520251 | John Paul Larson | Counselor | 430 E Division St, Fond Du Lac, WI 54935-4560 | 2019-07-23 |
| 1972165017 | Joseph Babiak | Counselor | 459 E 1st St, Fond Du Lac, WI 54935-4505 | 2019-06-28 |
| Find all providers in FOND DU LAC | ||||
| City | FOND DU LAC |
| Zip Code | 54935 |
Please comment or provide details below to improve the information on JEFFREY D RICHARDSON.
| 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.