MEDICARE: NEFFERTEE RICHARDS LPCC

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	E2001658	OH

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	:	1154831089
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NEFFERTEE RICHARDS LPCC

Provider Business Mailing Address
First Line	:	1255 N HAMILTON RD # 192
Second Line	:
City	:	GAHANNA
State	:	OH
Zip	:	43230-6785
Country	:	US
Telephone Number	:	614-370-4588
Fax Number	:

Provider Business Practice Location Address
First Line	:	4127 CERTALDO DR
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43219
Country	:	US
Telephone Number	:	614-370-4588
Fax Number	:

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

Provider Enumeration Date	:	10/05/2017
Last Update Date	:	04/24/2025

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