Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kimberlee Richardson, LPC

Individual provider Mental Health Counselor · NPI 1114756012

Kimberlee Richardson, LPC is a Mental Health Counselor in Williamson, West Virginia. Qualified in 2022, 4 years ago. Practices with Mental Health Specialty Group PA, a 679-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in West Virginia.

Years since qualifying
4
Licensed in
WV
In the registry since
2024
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

5 Parkway Dr
Williamson, WV 25661-3428
Phone: (304) 236-5902
Fax: (855) 487-4047
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 104 Logan St Ste A, Williamson, WV 25661-3606 — (304) 236-5902

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 2984 (WV)

Record details

NPI number1114756012
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorNo
NPI enumeratedJuly 29, 2024
Last updated in NPPESJuly 29, 2024
Certification dateJuly 29, 2024
Mailing addressPo Box 2080, Williamson, WV 25661-2080

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Mental Health Specialty Group Pa — 679 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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