Individual provider · Type 1 NPI

Michael Richardson

Mental Health Counselor · Union City, NJ

NPI number 1265114599 Active · reactivated Oct 6, 2025

Practice location

2201 Bergenline Ave
Union City, NJ 07087-3582

Mailing address

11 Elizabeth Ct
Tinton Falls, NJ 07724-3045

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X44SL06910900 (NJ)

Mental Health Counselor: Definition to come...

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About NPI 1265114599

Michael Richardson's National Provider Identifier is 1265114599, issued on Aug 4, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Union City, NJ. The record was last updated on Oct 6, 2025.