WYNNE RICHARDSON – Professional Counselor, NPI 1588450704

WYNNE RICHARDSON is a healthcare provider. based in Wichita falls, Texas. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. 10110 (TX). The NPI Number for WYNNE RICHARDSON is 1588450704

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
WYNNE RICHARDSON
NPI
1588450704
Phone
(940) 761-3034
Address
2501 TAYLOR ST
Enumeration Date
15 April 2025
Last Update Date
15 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9403975431
Graduation Year
2010 (16 years ago)
PAC ID
8022522051
Group Practice PAC ID
8426482159
Professional Enrollment ID
I20250710001289
Address ID
TX763014129WI1921XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:1State licenses:2Digital endpointsOther names

3,949 MENTAL HEALTH COUNSELOR in TX

Provider Addresses for WYNNE RICHARDSON

  • 2501 TAYLOR ST

    WICHITA FALLS, TX 763095341

    Phone: (940) 761-3034

    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: 2025-07-10

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
I20250710001289IMental Health CounselorTXTBD

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 76309)

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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: 8426482159View full group profile
NameSpecialtyState
Mental Health CounselorTX
Nurse PractitionerTX
Nurse PractitionerOK
Family PracticeTX
Mental Health CounselorTX
Mental Health CounselorTX
Clinical PsychologistTX
Internal MedicineTX
P S Y C H I A T R YTX
Family PracticeTX

Reviews

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Frequently asked questions

What federal number belongs to WYNNE RICHARDSON?
The federal identifier for WYNNE RICHARDSON is NPI 1588450704.
Is WYNNE RICHARDSON active in the national directory?
WYNNE RICHARDSON's public NPI profile is in an active state.
What field does WYNNE RICHARDSON work in?
You can think of WYNNE RICHARDSON as practicing within Professional Counselor. Clinical services aligned with this taxonomy classification.
What location shows for WYNNE RICHARDSON?
We surface Wichita Falls, Texas for WYNNE RICHARDSON based on available NPPES addresses.
Is WYNNE RICHARDSON a real provider?
This page reflects official NPPES data for NPI 1588450704. Always confirm identity and privileges with the practice and licensing boards.

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