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

Michael John Richter

Individual provider Mental Health Counselor · NPI 1124677505

Michael John Richter is a Clinical Social Worker in Moorhead, Minnesota. Qualified in 2020, 6 years ago. Practices with Nystrom and Associates Ltd, a 617-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
6
Licensed in
MN
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

2405 8th St S Ste 200
Moorhead, MN 56560-4200
Phone: (218) 331-4866
Fax: (218) 331-4867
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 28901 (MN)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1124677505
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 9, 2019
Last updated in NPPESJune 26, 2023
Certification dateJune 26, 2023
Mailing address2405 8th St S Ste 200, Moorhead, MN 56560-4200

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Nystrom And Associates Ltd — 617 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Moorhead