| Jonathan Davis Richards, MS, LPC | |
|
155 Corporate Pl, Branson, MO 65616-9136 | |
| (417) 761-5950 | |
| Not Available |
| Full Name | Jonathan Davis Richards |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 155 Corporate Pl, Branson, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851757173 | NPI | - | NPPES |
| 490027845 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 2012019910 (Missouri) | Primary |
| Entity Name | Burrell Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275541740 PECOS PAC ID: 4486548625 Enrollment ID: O20040210000372 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Davis Richards, MS, LPC 2885 W Battlefield St, Springfield, MO 65807-3952 Ph: (417) 761-5000 | Jonathan Davis Richards, MS, LPC 155 Corporate Pl, Branson, MO 65616-9136 Ph: (417) 761-5950 |
Courtney Hamilton, PLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1353 Lake Shore Dr, Branson, MO 65616 Phone: 913-909-7621 |
Jessica M Robart, LPC Counselor Medicare: May Accept Medicare Assignments Practice Location: 4480 Gretna Rd, Branson, MO 65616 Phone: 417-761-5492 Fax: 417-336-1204 |
Rebecca Ann Kendrick, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 195 County Bluff Drive, Branson, MO 65616 Phone: 913-530-4920 |
Eric Joseph Staples, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 S Sunshine St, Branson, MO 65616 Phone: 417-334-7437 Fax: 417-335-2273 |
Alana Cummings, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 225 Corporate Pl Ste M-1, Branson, MO 65616 Phone: 417-501-9990 |
Faith Nelson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1232 Branson Hills Pkwy Ste 104, Branson, MO 65616 Phone: 417-336-9355 |
Derrick Gilbert, CRADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 895 State Highway 248 Ste C, Branson, MO 65616 Phone: 417-544-8394 |