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Timmothy D Richardson

Counselor - Addiction (Substance Use Disorder) β€’ Enterprise, OR

Active NPI 1265173264 Individual Practitioner Male Practitioner
Practice location in NPPES

606 Medical Pkwy
Enterprise, OR 97828

Call 5414264524 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

606 Medical Pkwy

Enterprise, OR 97828

Telephone 5414264524
Organization at the Same NPPES Address or Phone
Wallowa Valley Center For Wellness Facility NPI 1043249907

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

NPI first issued

2022

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, CMS release of October 2, 2026; 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, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Compared with the same specialty in Enterprise and Oregon

5 active clinicians are listed under Counselor - Addiction (Substance Use Disorder) with a practice address in Enterprise, OR (4,121 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, 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: 2026-11-06
Counselor - Addiction (Substance Use Disorder) Primary Specialty

NUCC Taxonomy Code: 101YA0400X

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: Oregon Medical Board.
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.

1 listed
Dr. Joshua Boverman , MD

Psychiatry & Neurology - Psychiatry

NPI 1619064664

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 06, 2026

Counselor

βœ…
NPI Profile Active April 05, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 05, 2022

Registered at 606 MEDICAL PKWY, ENTERPRISE, OR 97828 (Tel: 5414264524)

πŸ“
Business Mailing Address (Initial Record) April 05, 2022

Registered at 600 W GREENWOOD ST SPC 8, ENTERPRISE, OR 978281430 (Tel: 5413982227)

πŸ‘€
Provider Name / Credentials (Initial Record) April 05, 2022

Recorded as TIMMOTHY RICHARDSON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 05, 2022

Case Manager/Care Coordinator

🟒
Initial NPI Registration & Enumeration April 05, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1265173264
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 05, 2022
Last Update: November 06, 2026
Sole Proprietor: No

Mailing Address

600 W Greenwood St Spc 8

Enterprise, OR 978281430

Phone: 5413982227

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.