MR. GARY RICHARDSON (NPI# 1750614525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750614525 |
| Entity Type | Individual |
| Full Name | MR. GARY RICHARDSON |
| Credential | LCDC |
| Practice Address |
1705 N Fm 179 Lubbock TX 79416-9441 |
| Mailing Address |
1705 N Fm 179 Lubbock TX 79416 |
| Practice Telephone | 8067978003 |
| Practice Fax Number | 8067977916 |
| Mailing Telephone | 8067978003 |
| Mailing Fax Number | 8067977916 |
| Enumeration Date | 2009-09-11 |
| Last Update Date | 2009-09-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
9073 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 065363601 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609081124 | Gary J. Richardson | Pharmacist | 4644 Highway 15 W, Clay City, KY 40312 | 2007-05-10 |
| 1700945045 | Gary S. Richardson | Internal Medicine | 1418 Iroquois Pl, Ann Arbor, MI 48104-4638 | 2006-12-06 |
| 1548346521 | Gary Dean Richardson | Dentist | 8995 W Flamingo Rd Ste 100, Las Vegas, NV 89147-0441 | 2006-10-31 |
| 1740237700 | Gary L Richardson | Chiropractor | 2620 Larkspur Ln Ste V, Redding, CA 96002-1043 | 2006-05-27 |
| 1427055003 | Gary Lee Richardson | Specialist | 300 N. 4th Ave. E., Suite 150, Newton, IA 50208-3137 | 2005-06-28 |
| 1710293881 | Gary Meade Richardson | General Practice | 300 N College St, Greenville, AL 36037-2025 | 2010-08-26 |
| 1639327000 | Gary C Richardson | Optometrist | 404 Main St, North Little Rock, AR 72114-5328 | 2008-08-28 |
| 1467642579 | Gary Richardson | Social Worker | 1300 E Bradford Pkwy, Springfield, MO 65804-4264 | 2007-07-26 |
| 1407948086 | Gary Alan Richardson | Social Worker | 3210 Euclid Ave, Cleveland, OH 44115 | 2006-09-29 |
| 1447297023 | Gary Dale Richardson | Emergency Medicine | 400 Austin Ave Nw, Massillon, OH 44646-3598 | 2006-06-01 |
| Street Address |
1705 N FM 179 |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79416-9441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831422609 | John D Brown | Counselor | 1705 N Fm 179, Lubbock, TX 79416 | 2009-09-11 |
| 1710499827 | Ann Herrera | Counselor | 1705 N Fm 179, Lubbock, TX 79416-9441 | 2017-10-30 |
| 1538671813 | Maria Stella Borromeo | Counselor | 1705 N Fm 179, Lubbock, TX 79416-9441 | 2017-10-26 |
| 1417468968 | Angela Wilkerson | Counselor | 1705 N Fm 179, Lubbock, TX 79416-9441 | 2017-10-23 |
| 1023370491 | Olga T Mercado | Counselor | 1705 N Fm 179, Lubbock, TX 79416-9441 | 2012-06-12 |
| 1790043404 | Managed Care Center for Addictive and Other Disorders Inc | Point of Service | 1705 N Fm 179, Lubbock, TX 79416-9441 | 2012-05-01 |
| 1518274448 | Lindsey E Tibbets | Counselor | 1705 N Fm 179, Lubbock, TX 79416-9441 | 2010-09-14 |
| 1508199225 | Danny Lin Caddell | Counselor | 1705 N Fm 179, Lubbock, TX 79416 | 2009-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710502174 | Jordan Lane Thompson | Pharmacist | 6313 4th Street, Lubbock, TX 79416 | 2020-06-11 |
| 1821636481 | Chieh-an Chou | Specialist/Technologist | 201 N Winston Ave, Lubbock, TX 79416 | 2019-12-13 |
| 1790341949 | Michael Mcpherson, M.d. P.a. | Internal Medicine | 5406 Colgate St, Lubbock, TX 79416 | 2019-05-14 |
| 1154893675 | South Plains Rehabilitation Hospital, LLC | Rehabilitation Hospital | 5406 Colgate Street, Lubbock, TX 79416 | 2018-12-21 |
| 1932697182 | Timothy Sampana | Student in an Organized Health Care Education/Training Program | 5217 Lehigh St, Lubbock, TX 79416 | 2018-04-24 |
| 1306347711 | 4th Street Dental, Pllc | Dentist | 5709 4th St, Lubbock, TX 79416 | 2018-02-22 |
| 1639682503 | South Plains Surgery Center LLC | Clinic/Center | 4412 6th Street, Lubbock, TX 79416 | 2017-11-14 |
| 1013459809 | Isabel Garcia | Occupational Therapy Assistant | 1717 Northfolk Ave, #a, Lubbock, TX 79416 | 2016-11-09 |
| 1033589213 | Rehab Care | Skilled Nursing Facility | 1717 Norfork Ave, Bldg A, Lubbock, TX 79416 | 2015-10-01 |
| 1902281306 | Carrillon | Clinic/Center | 1717 Norfold Bld A, Lubbock, TX 79416 | 2015-07-27 |
| Find all providers in zip 79416 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881209633 | Latia Green Scherpereel | Counselor | 4204 49th St, Lubbock, TX 79413-3722 | 2020-09-09 |
| 1851861439 | Zachery Brian Sneed | Counselor | 3b310, 3601 4th St Stop 6225, Lubbock, TX 79430 | 2018-11-27 |
| 1447762414 | Diana L. Lorber | Counselor | 4913 S Loop 289, Lubbock, TX 79424-1630 | 2017-10-31 |
| 1881065100 | Billy Don Huey | Counselor | 1804 E 2nd St, Lubbock, TX 79403-4016 | 2015-10-13 |
| 1396111977 | Jessica Ann Murphy | Counselor | 2325 93rd Pl, Lubbock, TX 79423-4423 | 2015-08-18 |
| 1114287992 | John Allen Shiflet | Counselor | 1709 N Fm 179, Lubbock, TX 79416 | 2012-05-25 |
| 1659668481 | William Harris | Counselor | 1705 N. Fm. 179, Lubbock, TX 79416 | 2011-06-30 |
| 1508152901 | Lilian Francisca Hayes | Counselor | 2345 50th St., Lubbock, TX 79412 | 2011-06-23 |
| 1215222633 | Casey Wilson | Counselor | 1705 N. Fm 179, Lubbock, TX 79416 | 2011-06-14 |
| 1861787285 | Sarah Delacruz | Counselor | 2345 50th Street, Lubbock, TX 79412 | 2011-06-14 |
| Find all providers in LUBBOCK | ||||
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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.