BRENDA L RICHARDSON – Professional Counselor, NPI 1265309256

BRENDA L RICHARDSON is a healthcare provider. based in Champaign, Illinois. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. 178003993 (IL). The NPI Number for BRENDA L RICHARDSON is 1265309256

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
BRENDA L RICHARDSON
NPI
1265309256
Phone
(217) 352-0200
Address
2125 S NEIL ST
Enumeration Date
22 October 2025
Last Update Date
22 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2173520200
Graduation Year
2025 (1 year ago)
PAC ID
5890272090
Group Practice PAC ID
9638335532
Professional Enrollment ID
I20260120000885
Address ID
IL618207266CH2125XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

2,307 MENTAL HEALTH COUNSELOR in IL

Provider Addresses for BRENDA L RICHARDSON

  • 2125 S NEIL ST

    CHAMPAIGN, IL 618207266

    Phone: (217) 352-0200

    Fax: (217) 607-1139

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-01-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20260120000885IMental Health CounselorILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61820)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9638335532View full group profile
NameSpecialtyState
Clinical Social WorkerIL
Mental Health CounselorIL
Clinical Social WorkerIL
Mental Health CounselorIL
Clinical Social WorkerIL
Clinical Social WorkerIL
Clinical Social WorkerIL
Clinical Social WorkerIL
Clinical Social WorkerIL
Clinical Social WorkerIL

Reviews

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Frequently asked questions

How do payers reference BRENDA L RICHARDSON?
For BRENDA L RICHARDSON, use NPI 1265309256 as the unique 10-digit identifier.
Would BRENDA L RICHARDSON appear as active to a payer?
You can treat BRENDA L RICHARDSON as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for BRENDA L RICHARDSON?
At a glance, BRENDA L RICHARDSON is tied to Professional Counselor. Clinical services aligned with this taxonomy classification.
Is BRENDA L RICHARDSON associated with Champaign?
Public fields place BRENDA L RICHARDSON around Champaign, Illinois. Always confirm the exact site before visiting.
Can I trust this NPI listing for BRENDA L RICHARDSON?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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