JEFFREY KIEL RICHARDSON (NPI# 1528621380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528621380 |
| Entity Type | Individual |
| Full Name | JEFFREY KIEL RICHARDSON |
| Practice Address |
204 Hampton Dr Venice CA 90291-8633 |
| Practice Telephone | 3103966648 |
| Mailing Telephone | 3103966648 |
| Enumeration Date | 2019-04-17 |
| Last Update Date | 2019-10-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| Y | 171M00000X | Case Manager/Care Coordinator | Other 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 |
| 1932507126 | Jeffrey Wayne Richardson | Counselor | 135 Washington St, Taunton, MA 02780-2582 | 2014-12-20 |
| 1386988293 | Jeffrey D Richardson | Counselor | 757 S Main St, Suite 8, Fond Du Lac, WI 54935-5739 | 2012-11-15 |
| 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 |
204 HAMPTON DR |
| City | VENICE |
| State | CA |
| Zip Code | 90291-8633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265569545 | Joaquin Ortega | Rehabilitation Practitioner | 204 Hampton Dr, Dept 3100, Venice, CA 90291-2623 | 2007-02-27 |
| 1972104412 | Keira Armstrong | Student in an Organized Health Care Education/Training Program | 204 Hampton Dr, Venice, CA 90291-2623 | 2020-11-02 |
| 1588261614 | Joel Perez Jr. | Student in an Organized Health Care Education/Training Program | 204 Hampton Dr, Venice, CA 90291-2623 | 2020-10-01 |
| 1194332189 | Jessica Dian Bryant | Student in an Organized Health Care Education/Training Program | 204 Hampton Dr, Venice, CA 90291-2623 | 2020-09-24 |
| 1841804135 | Jonathon Vorpe | Counselor | 204 Hampton Dr, Venice, CA 90291-8633 | 2020-09-03 |
| 1730792540 | Austin Michael Martinez | Counselor | 204 Hampton Dr, Venice, CA 90291-8633 | 2020-08-31 |
| 1396354288 | Efren Espinoza | Case Manager/Care Coordinator | 204 Hampton Dr, Venice, CA 90291-2623 | 2020-07-27 |
| 1831717917 | Carla A Gonzalez | Case Manager/Care Coordinator | 204 Hampton Dr, Venice, CA 90291-2623 | 2020-07-06 |
| 1164049540 | Alicia Crooks | Case Manager/Care Coordinator | 204 Hampton Dr, Venice, CA 90291-2623 | 2020-07-01 |
| 1437776341 | Kristen Elizabeth Nichols | Counselor | 204 Hampton Dr, Venice, CA 90291-2623 | 2020-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033629837 | Dylan Booth | Dentist | 601 Vernon Ave, Venice, CA 90291 | 2017-10-05 |
| 1467979500 | Linda Sittler | Registered Nurse | 1025 Palms Ave, Venice, CA 90291 | 2017-08-29 |
| 1003218660 | Patricia Guadalupe Rivas | Counselor | 717 Lincoln Blvd., Venice, CA 90291 | 2014-09-25 |
| 1497016877 | Carrie Lynn Kowalski | Physician Assistant | 604 Rose Avenue, Venice, CA 90291 | 2012-06-02 |
| 1821364761 | Cheryl Lynn Perkins | Nutritionist | 215 Culver Boulevard, # 5203, Playa Del Rey, CA 90291 | 2012-03-26 |
| 1629391875 | James L. Hoff | Optometrist | 1636 Abbot Kinney Blvd., Venice, CA 90291 | 2010-03-02 |
| 1720315096 | Kristen Nicol Leishman | Counselor | 911 Coeur D'alene Ave, Venice, CA 90291 | 2009-11-06 |
| 1922237882 | David Anthony Garcia | Physician Assistant | 15031 Rinaldi St., Providence Holy Cross Medical Center Ed, Mission Hills, CA 90291 | 2009-07-13 |
| 1548411010 | David Watts | Acupuncturist | 307 S. Robertson Blvd, Beverly Hills, CA 90291 | 2008-10-02 |
| 1184891699 | Judy Alexander | Voluntary or Charitable | 204 Hampton Drive, St Joseph Center, Venice, CA 90291 | 2008-05-14 |
| Find all providers in zip 90291 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093297830 | Christian Alejandro Ramirez | Case Manager/Care Coordinator | 204 Hampton Dr Apt 13, Venice, CA 90291-2623 | 2018-08-29 |
| 1538497839 | Jennifer Lydic | Case Manager/Care Coordinator | 204 Hampton Dr # 13, Venice, CA 90291-2623 | 2009-11-24 |
| 1396354288 | Efren Espinoza | Case Manager/Care Coordinator | 204 Hampton Dr, Venice, CA 90291-2623 | 2020-07-27 |
| 1831717917 | Carla A Gonzalez | Case Manager/Care Coordinator | 204 Hampton Dr, Venice, CA 90291-2623 | 2020-07-06 |
| 1164049540 | Alicia Crooks | Case Manager/Care Coordinator | 204 Hampton Dr, Venice, CA 90291-2623 | 2020-07-01 |
| 1356968283 | Veronica Morrison | Case Manager/Care Coordinator | 204 Hampton Dr, Venice, CA 90291-2623 | 2020-06-26 |
| 1215553441 | Alfonso Martin | Case Manager/Care Coordinator | 204 Hampton Dr, Venice, CA 90291-2623 | 2020-06-23 |
| 1598394868 | Kristina Michelle Goosby | Case Manager/Care Coordinator | 204 Hampton Dr, Venice, CA 90291-8633 | 2020-04-07 |
| 1558998112 | Claudia Cordova | Case Manager/Care Coordinator | 204 Hampton Dr, Venice, CA 90291-2623 | 2020-03-24 |
| 1881220655 | Keith Orr Jr. | Case Manager/Care Coordinator | 204 Hampton Dr, Venice, CA 90291-8633 | 2020-03-12 |
| Find all providers in VENICE | ||||
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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.