AVA RICHARDSON NPI 1154983583

NPI Information

NPI: 1154983583
Provider Name: AVA RICHARDSON
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
4072 SAWYER ST
INDIANAPOLIS, IN
ZIP 46226
Phone: (317) 607-3812
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Ava Richardson is an addiction (substance use disorder) counselor in Indianapolis, IN. Ava Richardson NPI is 1154983583. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4072 SAWYER ST
INDIANAPOLIS, IN
ZIP 46226-953
Phone: (317) 607-3812

The enumeration date for this NPI number is 7/5/2019 and was last updated on 11/30/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	175T00000X	Peer Specialist		No
2	376J00000X	Homemaker		No
3	101YA0400X	Counselor	Addiction (Substance Use Disorder)	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	46-1441860-	MEDICAID	INDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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