Jacqueline Richardson, LPCC in Louisville, KY

Jacqueline Richardson, LPCC is a medicare enrolled "Counselor - Professional" provider in Louisville, Kentucky. Her current practice location is 4010 Dupont Cir Ste 419, Louisville, Kentucky. You can reach out to her office (for appointments etc.) via phone at (502) 409-6993.

Jacqueline Richardson is licensed to practice in Kentucky (license number 268769) 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 1992204465.

Contact Information

	Jacqueline Richardson, LPCC
	4010 Dupont Cir Ste 419, Louisville, KY 40207-4837
	(502) 409-6993
	(502) 409-6775

Map and Direction

Healthcare Provider's Profile

Full Name	Jacqueline Richardson
Gender	Female
Speciality	Counselor - Professional
Location	4010 Dupont Cir Ste 419, Louisville, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992204465
Provider Enumeration Date: 02/09/2018
Last Update Date: 02/14/2023

Medicare PECOS Information:

PECOS PAC ID: 0244682102
Enrollment ID: I20240117001003

Medical Identifiers

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

Identifier	Type	State	Issuer
1992204465	NPI	-	NPPES
610661458	Other	KY	TAX ID

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	268769 (Kentucky)	Primary

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. Jacqueline Richardson allows following entities to bill medicare on her behalf.

Entity Name	Meridian Behavioral Health Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427569219 PECOS PAC ID: 6709149321 Enrollment ID: O20180413000237

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. Jacqueline 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
Jacqueline Richardson, LPCC 4010 Dupont Cir Ste 419, Louisville, KY 40207-4837 Ph: (502) 409-6993	Jacqueline Richardson, LPCC 4010 Dupont Cir Ste 419, Louisville, KY 40207-4837 Ph: (502) 409-6993

Reviews and Comments

Counselor in Louisville, KY

Julie Taylor Locke, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8100 Westport Rd, Louisville, KY 40222 Phone: 502-472-2692
Megan Mcmillen, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3121 Brooklawn Campus Dr, Louisville, KY 40218 Phone: 502-212-8360
Mary Gray, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4010 Dupont Cir Ste 562, Louisville, KY 40207 Phone: 502-896-1850
Elaine Stamper, Counselor Medicare: Not Enrolled in Medicare Practice Location: 600 S Preston St, Louisville, KY 40202 Phone: 502-589-8600 Fax: 502-589-8771
Janna Donovan, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1860 Mellwood Ave # 117, Louisville, KY 40206 Phone: 502-689-7977 Fax: 502-442-0020
Molly Piper Rucks, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 1169 Eastern Pkwy, #2339, Louisville, KY 40217 Phone: 502-408-3223 Fax: 888-711-1902
Keith Mckenzie, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 332 W Broadway Ste 905, Louisville, KY 40202 Phone: 502-587-9737

Jacqueline Richardson, LPCC - Medicare Counselor in Louisville, KY