Nicole Richardson is a Fort Drum, New York based counselor who is specialized as Counselor. Active license number of Nicole Richardson is 39001931A for Mental Health Counselor in Indiana. Her current practice location is 11050 Mount Belvedere Blvd, Fort Drum. Patients can book an appointment with her at 153-772-2873.
Nicole Richardson is a trained and licensed mental health professional who helps individuals, couples, or groups manage and overcome emotional, psychological, behavioral, or relationship challenges. She works with people dealing with anxiety, depression, mood disorders, trauma, post-traumatic stress disorder (PTSD), grief and loss etc. She support her clients by understanding their thoughts, emotions, and behaviors.
Complete Profile:
Nicole Richardson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Nicole Richardson
Specialization:
Counselor
Gender:
Female
Credentials:
ME
Accepts Medicare Assignment:
No
Practice Address:
11050 Mount Belvedere Blvd, Fort Drum, New York, 13602-5438
Phone:
153-772-2873
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1801926803
NPI Enumeration Date:
07 Mar, 2007
NPI Last Update On:
16 Jan, 2025
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Nicole Richardson are as mentioned below.
License Number
Specialization
State
Status
39001931A
Mental Health Counselor
Indiana
Primary
39001931A
Counselor
Indiana
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Nicole Richardson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
200475040
Medicaid
Indiana
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
11050 Mount Belvedere Blvd, Fort Drum, New York
Zip:
13602-5438
Phone Number:
315-772-2873
Patients can reach Nicole Richardson at 11050 Mount Belvedere Blvd, Fort Drum, New York or can call to book an appointment on 153-772-2873. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 July, 2025.