DOUGLAS RICHARDSON – Professional Counselor, NPI 1407220809

DOUGLAS RICHARDSON is a healthcare provider. based in Libby, Montana. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. 12428 (MT). The NPI Number for DOUGLAS RICHARDSON is 1407220809

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
DOUGLAS RICHARDSON
NPI
1407220809
Phone
(406) 283-6900
Address
320 E 2ND ST
Enumeration Date
23 November 2015
Last Update Date
30 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4062836900
Graduation Year
2011 (15 years ago)
PAC ID
8921450453
Group Practice PAC ID
6507778537
Professional Enrollment ID
I20240119001697
Address ID
MT599232010LI320XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

448 MENTAL HEALTH COUNSELOR in MT

Provider Addresses for DOUGLAS RICHARDSON

  • 320 E 2ND ST

    LIBBY, MT 599232010

    Phone: (406) 283-6900

    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: 2024-01-19

PECOS data refreshed: 2026-06-15

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
I20240119001697IMental Health CounselorMTTBD

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 59923)

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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: 6507778537View full group profile
NameSpecialtyState
Clinical Social WorkerMT
Family PracticeMT
Family PracticeMT
Clinical Social WorkerMT
Family PracticeCA
Physician AssistantMT
Family PracticeMT
Nurse PractitionerMT
Physician AssistantMT
Physician AssistantMT

Reviews

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Frequently asked questions

What number should I use to identify DOUGLAS RICHARDSON for billing?
Administrative and clinical systems typically use NPI 1407220809 for DOUGLAS RICHARDSON.
Should I treat DOUGLAS RICHARDSON as an active provider?
Patients and plans typically see DOUGLAS RICHARDSON as active in the national extract.
What services align with DOUGLAS RICHARDSON's listing?
DOUGLAS RICHARDSON's public classification highlights Professional Counselor. Clinical services aligned with this taxonomy classification.
Is DOUGLAS RICHARDSON tied to Libby, Montana?
If you are local to Libby, Montana, DOUGLAS RICHARDSON may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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