Kim Richardson Therapy LLC
NPI 1104536382ActiveOrganization· Social Worker, Clinical· Holland, MI
Social Worker, Clinical in Holland, Michigan, registered in NPPES in November 2022. The authorized official on file is Kim Adrienne Richardson, Lmsw, Lpc. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1104536382 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 29, 2022 |
| Last updated in NPPES | Jul 8, 2023 |
| Certified by provider | Jul 8, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
| Counselor, Mental Health | 101YM0800X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MI) |
|---|
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