MEDICARE: DR. MICHAEL DAVID RICHARDSON ED.D, LCPC, CRADC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	001395	MO
2	101YP2500X	Professional Counselor	180.002197	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154510196
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL DAVID RICHARDSON ED.D, LCPC, CRADC

Provider Business Mailing Address
First Line	:	12496 OLD 79
Second Line	:
City	:	NEW LONDON
State	:	MO
Zip	:	63459-2741
Country	:	US
Telephone Number	:	573-248-2051
Fax Number	:	573-248-2051

Provider Business Practice Location Address
First Line	:	12496 OLD 79
Second Line	:
City	:	NEW LONDON
State	:	MO
Zip	:	63459-2741
Country	:	US
Telephone Number	:	573-248-2051
Fax Number	:	573-248-2051

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/16/2007
Last Update Date	:	07/08/2011

Similar Medicare Providers

1023305166 — TRESA HARRIS RICHARDSON MSW, LCSW, ACSW
Practice Location Address:

12496 OLD 79
NEW LONDON, MO
63459-2741

Practice Phone: 573-248-2051
Practice Fax: 573-248-2051

1033168141 — KIM ROBINSON LPC
Practice Location Address:

12662 SAVERTON WEST DR
NEW LONDON, MO
63459-3639

Practice Phone: 573-248-7176
Practice Fax:

1497787030 — RALLS COUNTY HEALTH DEPARTMENT
Practice Location Address:

405 W. FIRST ST.
NEW LONDON, MO
63459

Practice Phone: 573-985-7121
Practice Fax: 573-985-1531

1306996012 — COMPREHENSIVE HEALTH SYSTEMS, INC
Practice Location Address:

12677 HEAVENLY ACRES DR
NEW LONDON, MO
63459-2436

Practice Phone: 573-248-1372
Practice Fax: 573-248-1375

1841512639 — COMPREHENSIVE HEALTH SYSTEMS, INC.
Practice Location Address:

12677 HEAVENLY ACRES DR
NEW LONDON, MO
63459-2436

Practice Phone: 573-248-1372
Practice Fax: 573-248-1375

1710244363 — INDEPENDENT MOBILITY LLC
Practice Location Address:

18994 HIGHWAY 19
NEW LONDON, MO
63459-4808

Practice Phone: 217-653-5031
Practice Fax:

Directions to “ DR. MICHAEL DAVID RICHARDSON ED.D, LCPC, CRADC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.