ANDRE RICHARDSON (NPI# 1770097651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770097651 |
| Entity Type | Individual |
| Full Name | ANDRE RICHARDSON |
| Credential | PLPC |
| Practice Address |
500 Medical Dr Wentzville MO 63385-3421 |
| Mailing Address |
1237 Springhurst Dr Florissant MO 63031-2430 |
| Practice Telephone | 3143446700 |
| Practice Fax Number | 3143446194 |
| Mailing Telephone | 3144714103 |
| Enumeration Date | 2017-11-29 |
| Last Update Date | 2017-11-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| Street Address |
500 MEDICAL DR |
| City | WENTZVILLE |
| State | MO |
| Zip Code | 63385-3421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619979929 | Emergency Medical Care LLC | Emergency Medicine | 500 Medical Dr, Wentzville, MO 63385-3421 | 2005-06-01 |
| 1144838673 | Calie Marie Kircher | Social Worker | 500 Medical Dr, Wentzville, MO 63385-3421 | 2020-07-21 |
| 1043833593 | Summer Lacole Morefield | Counselor | 500 Medical Dr, Wentzville, MO 63385-3421 | 2020-05-19 |
| 1568017994 | Cep America LLC | Emergency Medicine | 500 Medical Dr, Wentzville, MO 63385-3421 | 2019-08-02 |
| 1790244648 | Ndye Secka Chamberlain | Marriage & Family Therapist | 500 Medical Dr, Wentzville, MO 63385-3421 | 2019-03-19 |
| 1013472083 | Debra Lynn Cates | Counselor | 500 Medical Dr, Wentzville, MO 63385-3421 | 2019-02-04 |
| 1982169199 | Kevin Lynn White Jr. | Counselor | 500 Medical Dr, Wentzville, MO 63385-3421 | 2019-02-01 |
| 1295299634 | Marcus Miller | Counselor | 500 Medical Dr, Wentzville, MO 63385-3421 | 2019-01-30 |
| 1457815953 | Krystal Currie | Counselor | 500 Medical Dr, Wentzville, MO 63385-3421 | 2019-01-29 |
| 1871057752 | Christine Sibilla | Counselor | 500 Medical Dr, Wentzville, MO 63385-3421 | 2019-01-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730243 | Jeffery William Ellis | Pharmacist | 1571 Wentzville Parkway, Wentzville, MO 63385 | 2020-11-05 |
| 1487266011 | Jason Wade Moore | Peer Specialist | 5 West Pearce Boulevard, Wentzville, MO 63385 | 2020-08-17 |
| 1265906176 | Montrice M Haynes | Counselor | 500 Medical Dr., Central Intake, Wentzville, MO 63385 | 2019-01-14 |
| 1841718459 | Linda Duree | Counselor | 7105 Whisper Creek Dr, Wentzville, MO 63385 | 2017-09-03 |
| 1811349368 | Sara Kleinlein | Social Worker | 500 Medical Drive, Wentzville, MO 63385 | 2016-07-08 |
| 1275980757 | Teona Moeller | Nurse Practitioner | 1598 West Meyer Dr., Wentzville, MO 63385 | 2016-05-16 |
| 1831561273 | Jay F. Hauser, Dds, PC | Dentist | 11 Wentzville Bluffs Drive, Wentzville, MO 63385 | 2015-10-26 |
| 1720402035 | Shara Kuehl | Speech-Language Pathologist | One Campus Drive, Wentzville, MO 63385 | 2014-02-06 |
| 1336480474 | Simply Loyal In Home and Transport Services LLC | Home Health | 152 Enterprise Dr, Wentzille, MO 63385 | 2013-03-14 |
| 1750641338 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 1849 Wentzville Parkway, Wentzville, MO 63385 | 2012-05-17 |
| Find all providers in zip 63385 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265906176 | Montrice M Haynes | Counselor | 500 Medical Dr., Central Intake, Wentzville, MO 63385 | 2019-01-14 |
| 1366456048 | Tiffany Annette Moore | Counselor | 5 W Pearce Blvd, Wentzville, MO 63385-1415 | 2006-07-28 |
| 1063027563 | Brittany Anyce Moore | Counselor | 1032 Crosswinds Ct, Wentzville, MO 63385-4836 | 2020-09-11 |
| 1558987016 | Kristen Leigh Wurth | Counselor | 1032 Crosswinds Ct, Wentzville, MO 63385-4836 | 2020-06-22 |
| 1134769664 | Joshua Ronald Dunn | Counselor | 1032 Crosswinds Ct, Wentzville, MO 63385-4836 | 2020-01-13 |
| 1679110910 | Melanie R Davis | Counselor | 1032 Crosswinds Ct, Wentzville, MO 63385-4836 | 2019-12-05 |
| 1124661962 | Jacqueline Nicole Newkirk Mattingly | Counselor | 1032 Crosswinds Ct, Wentzville, MO 63385-4836 | 2019-10-24 |
| 1710520846 | Melody R Corbin | Counselor | 1032 Crosswinds Ct, Wentzville, MO 63385-4836 | 2019-10-22 |
| 1528601838 | Kathleen Veys | Counselor | 1032 Crosswinds Ct, Wentzville, MO 63385-4836 | 2019-10-21 |
| 1780231845 | Tonya S Bucher | Counselor | 1032 Crosswinds Ct, Wentzville, MO 63385-4836 | 2019-08-23 |
| Find all providers in WENTZVILLE | ||||
| City | WENTZVILLE |
| Zip Code | 63385 |
Please comment or provide details below to improve the information on ANDRE 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.