Desi Rae Richardson, LPC in Fort Worth, TX - Medicare Counselor Provider

Desi Rae Richardson, LPC is a medicare enrolled "Counselor - Professional" provider in Fort Worth, Texas. Her current practice location is 4500 Mercantile Plaza Dr Ste 300, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at (936) 259-2119.

Desi Rae Richardson is licensed to practice in Texas (license number 84894) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1356006191.

Contact Information

	Desi Rae Richardson, LPC
	4500 Mercantile Plaza Dr Ste 300, Fort Worth, TX 76137-4206
	(936) 259-2119
	(936) 286-3106

Map and Direction

Healthcare Provider's Profile

Full Name	Desi Rae Richardson
Gender	Female
Speciality	Counselor - Professional
Location	4500 Mercantile Plaza Dr Ste 300, Fort Worth, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356006191
Provider Enumeration Date: 11/06/2021
Last Update Date: 03/28/2024

Medicare PECOS Information:

PECOS PAC ID: 7517317720
Enrollment ID: I20240102000093

Medical Identifiers

Medical identifiers for Desi Rae Richardson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356006191	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	84894 (Texas)	Primary
101YM0800X	Counselor - Mental Health	84894 (Texas)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Desi Rae Richardson allows following entities to bill medicare on her behalf.

Entity Name	Serenity House Counseling, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568065142 PECOS PAC ID: 3173973377 Enrollment ID: O20240102000026

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Desi Rae Richardson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Desi Rae Richardson, LPC 3748 Us Highway 59 N Ste A, Livingston, TX 77351-8981 Ph: (936) 259-2119	Desi Rae Richardson, LPC 4500 Mercantile Plaza Dr Ste 300, Fort Worth, TX 76137-4206 Ph: (936) 259-2119

Reviews and Comments

Counselor in Fort Worth, TX

Jamie L Cole, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 801 7th Ave, Case Management, Fort Worth, TX 76104 Phone: 682-885-3991
Ms. Yolanda Valenzuela, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 901 7th Ave, Fort Worth, TX 76104 Phone: 682-885-1480
Mrs. Kathleen Margaret Bass, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3901 Kirby Dr, #1014, Fort Worth, TX 76155 Phone: 817-915-0359
Felice Mayes, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2928 W 5th St, Fort Worth, TX 76107 Phone: 817-332-6348 Fax: 817-332-6489
Jessica Batts, MA, LCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5601 Bridge St, Ste. 300, Fort Worth, TX 76112 Phone: 682-292-8413
Carrie Rimato, Counselor Medicare: Medicare Enrolled Practice Location: 9840 Gallatin Ln, Fort Worth, TX 76177 Phone: 979-236-8325
Brittany Leann Kirk, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 901 7th Ave Ste 2100, Fort Worth, TX 76104 Phone: 682-885-1480 Fax: 682-885-3600

Desi Rae Richardson, LPC - Medicare Counselor in Fort Worth, TX