RUSSELL RICHARDS (LPC, NCC) – Mental Health Counselor, NPI 1902931660

RUSSELL RICHARDS (LPC, NCC) is a healthcare provider. based in Medford, Oregon. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPC, NCC. They hold a License No. C7180 (OR). The NPI Number for RUSSELL RICHARDS (LPC, NCC) is 1902931660

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
RUSSELL RICHARDS (LPC, NCC)
NPI
1902931660
Phone
(541) 858-8170
Address
3587 HEATHROW WAY
Enumeration Date
22 February 2007
Last Update Date
2 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5416876983
Graduation Year
2019 (7 years ago)
PAC ID
2769825751
Group Practice PAC ID
1658674197
Professional Enrollment ID
I20240207000041
Address ID
OR974015599EU360XXAVEX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,181 MENTAL HEALTH COUNSELOR in OR

Provider Addresses for RUSSELL RICHARDS (LPC, NCC)

  • 3587 HEATHROW WAY

    MEDFORD, OR 975044004

    Phone: (541) 858-8170

    Type: Mailing

  • 71 CENTENNIAL LOOP STE A

    EUGENE, OR 974012443

    Phone: (541) 505-8426

    Fax: (541) 515-6938

    Type: Location

  • 360 E 10TH AVE STE 450

    EUGENE, OR 974013273

    Phone: (541) 780-7557

    Type: Mailing

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: 2024-02-07

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
I20240207000041IMental Health CounselorORTBD

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 97504)

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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: 1658674197View full group profile
NameSpecialtyState
Mental Health CounselorOR
Marriage And Family TherapistOR
Marriage And Family TherapistOR
Nurse PractitionerOR
Marriage And Family TherapistOR
Mental Health CounselorOR
Mental Health CounselorOR
-OR
Clinical Social WorkerOR
Mental Health CounselorOR

Reviews

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Frequently asked questions

What is the 10-digit NPI for RUSSELL RICHARDS (LPC, NCC)?
RUSSELL RICHARDS (LPC, NCC) — NPI 1902931660 — is the standard way to identify this listing.
Can I rely on RUSSELL RICHARDS (LPC, NCC) being an active provider?
As of the registry snapshot, RUSSELL RICHARDS (LPC, NCC) is marked active.
What is RUSSELL RICHARDS (LPC, NCC)'s specialty?
The listing groups RUSSELL RICHARDS (LPC, NCC) with Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Where is RUSSELL RICHARDS (LPC, NCC) based?
RUSSELL RICHARDS (LPC, NCC) is tied to Medford, Oregon in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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