Clyde Richardson, M DIV CAC-R
NPI 1275709826 · Addiction (Substance Use Disorder) Counselor · Grand Rapids, MI
Clyde Richardson, M DIV CAC-R is a Addiction (Substance Use Disorder) Counselor provider in Grand Rapids, MI (NPI 1275709826).
Provider details
- NPI number
- 1275709826
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- M DIV CAC-R
- Sex
- Male
- Sole proprietor
- No
- License
- 6802067415 (MI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
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
18 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
Registry dates
- Enumerated
- 2008-05-05
- Last updated
- 2009-06-26
Frequently asked questions
- What is Clyde Richardson's NPI number?
- Clyde Richardson's National Provider Identifier (NPI) is 1275709826, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Clyde Richardson's specialty?
- Clyde Richardson is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor (Behavioral Health & Social Service Providers).
- Where is Clyde Richardson located?
- Clyde Richardson's practice location on file with NPPES is 3210 Eagle Run Dr, Grand Rapids, MI 49525.
- What is Clyde Richardson's phone number?
- The practice phone number listed in the NPPES registry for Clyde Richardson is (616) 957-1200.
- Is Clyde Richardson's NPI active?
- Yes — Clyde Richardson's NPI (1275709826) is active in the NPPES registry as of the last update on 2009-06-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.