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William Richardson

Counselor - Professional • Moore, OK

Active NPI 1093690422 Individual Practitioner Male Practitioner
Practice location in NPPES

1400 Se 4th St
Moore, OK 731607329

Call 4058371033 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

1400 Se 4th St

Moore, OK 731607329

Telephone 4058371033
Organization at the Same NPPES Address or Phone
Moore Primary Care Inc Facility NPI 1063536233

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

NPI first issued

2025

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, “Does 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 Moore and Oklahoma

36 active clinicians are listed under Counselor - Professional with a practice address in Moore, OK (2,550 in Oklahoma).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Moore

8.3% of these 36 clinicians have the CMS telehealth indicator.

27.8% of these 36 clinicians are listed by CMS as accepting Medicare assignment.

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

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-08-06
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

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: Oklahoma State Board of Medical Licensure.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

4 listed
Sasa Jackson , PA-C

Physician Assistant

NPI 1447521539

Physician Assistant (Certified)

NPI 1841842812

Master of Science in Nursing, Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Mandi Rhodes , PA-C

Physician Assistant - Medical

NPI 1114153293

Physician Assistant (Certified)

Kay Rochester , PA-C

Physician Assistant

NPI 1871863712

Physician Assistant (Certified)

Career & Practice History

NPI enumerated August 06, 2025.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from August 2025 to August 2026.

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NPI Administrative Meta

NPI Number: 1093690422
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 06, 2025
Last Update: August 06, 2025
Sole Proprietor: No

Mailing Address

2604 Huntleigh Dr

Oklahoma City, OK 731203302

Phone: 4052271508

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.