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Dr. Clarissa Marie Edge Richardson , PhD

Psychologist β€’ Springfield, IL

Active NPI 1649764713 Individual Practitioner Female Practitioner
Practice location in NPPES

1 Old State Capitol Plz
Springfield, IL 627011512

Call 2179531343 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1 Old State Capitol Plz

Springfield, IL 627011512

Telephone 2179531343
Organization at the Same NPPES Address or Phone
Richardson Counseling Services, Pllc Facility NPI 1063116002

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Springfield and Illinois

6 active clinicians are listed under Psychologist with a practice address in Springfield, IL (1,011 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-05-29
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

License # reported to NPPES IL 071.010899

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location May 29, 2025

Registered at 1 OLD STATE CAPITOL PLZ, SPRINGFIELD, IL 627011512 (Tel: 2179531343)

πŸ“
Updated Practice Location March 09, 2023

Registered at 201 E MORGAN ST, JACKSONVILLE, IL 626502587 (Tel: 2179531343)

πŸ“
Updated Business Mailing Address March 09, 2023

Registered at 3975 LEACH RD, ROCHESTER, IL 625638061 (Tel: 2179531343)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 09, 2023

Psychologist (license number reported to NPPES: IL 071.010899)

βœ…
NPI Profile Active June 21, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 21, 2018

Registered at UNIVERSITY OF IDAHO STUDENT HEALTH CENTER 210, MOSCOW, ID 838440001 (Tel: 2088855081)

πŸ“
Business Mailing Address (Initial Record) June 21, 2018

Registered at 875 PERIMETER DR # 210, MOSCOW, ID 838443043 (Tel: 2088855081)

πŸ‘€
Provider Name / Credentials (Initial Record) June 21, 2018

Recorded as CLARISSA RICHARDSON, PH.D.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 21, 2018

Psychologist (license number reported to NPPES: ID PSY-203053)

🟒
Initial NPI Registration & Enumeration June 21, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1649764713
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 21, 2018
Last Update: May 29, 2025
Sole Proprietor: No

Other Psychologists in Springfield

Healthcare providers in Springfield

Mailing Address

3975 Leach Rd

Rochester, IL 625638061

Phone: 2179531343

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.