Kim Richardson Therapy LLC
NPI 1104536382 · Clinical Social Worker · Holland, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kim Richardson Therapy LLC is a Clinical Social Worker organization in Holland, MI (NPI 1104536382).
Provider details
- NPI number
- 1104536382
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Kim Richardson, Lmsw, Lpc(312) 882-5067
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Kim Richardson Therapy LLC
Registry dates
- Enumerated
- 2022-11-29
- Last updated
- 2023-07-08
- Certified
- 2023-07-08
Frequently asked questions
- What is Kim Richardson Therapy LLC's NPI number?
- Kim Richardson Therapy LLC's National Provider Identifier (NPI) is 1104536382, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kim Richardson Therapy LLC?
- Kim Richardson Therapy LLC is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Kim Richardson Therapy LLC located?
- Kim Richardson Therapy LLC's practice location on file with NPPES is 186 S River Ave Ste 7, Holland, MI 49423-2848.
- What is Kim Richardson Therapy LLC's phone number?
- The practice phone number listed in the NPPES registry for Kim Richardson Therapy LLC is (312) 882-5067.
- Does Kim Richardson Therapy LLC accept Medicare?
- Kim Richardson Therapy LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Kim Richardson Therapy LLC?
- The authorized official listed on Kim Richardson Therapy LLC's NPPES record is Kim Richardson, Lmsw, Lpc. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kim Richardson Therapy LLC's NPI active?
- Yes — Kim Richardson Therapy LLC's NPI (1104536382) is active in the NPPES registry as of the last update on 2023-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.