Healthcare Provider Details

I. General information

NPI: 1316872401
Provider Name (Legal Business Name): RICHARD ANTONIO SALGADO LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 W REPUBLIC RD
SPRINGFIELD MO
65807-5818
US

IV. Provider business mailing address

1905 N MAIN AVE
SPRINGFIELD MO
65803-2665
US

V. Phone/Fax

Practice location:
  • Phone: 417-324-5257
  • Fax:
Mailing address:
  • Phone: 301-367-0949
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2026004803
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: