Richard Hisman
Richard Hisman is a Mental Health Counselor in Killingly, Connecticut. Qualified in 2017, 9 years ago. Practices with Inlight Professional Counseling Services LLC, a 3-clinician group. Licensed in Connecticut.
- Years since qualifying
- 9
- Licensed in
- CT
- In the registry since
- 2016
- Specialties on file
- 2
Practice location Address checks out
535 Main St Ste 1Killingly, CT 06239-2169
Phone: (860) 774-6295
Fax: (860) 779-6295
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X · Licence 003369 (CT) |
|---|---|
| Counselor | Taxonomy 101Y00000X |
Record details
| NPI number | 1053768713 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 23, 2016 |
| Last updated in NPPES | June 22, 2021 |
| Certification date | June 22, 2021 |
| Mailing address | 535 Main St Ste 1, Killingly, CT 06239-2169 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 2017 (9 years in practice) |
| Group practice | Inlight Professional Counseling Services Llc — 3 clinicians |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |