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Kelcie M Richmond

Counselor

Behavioral Health & Social Service Providers

1801 American Blvd E Ste 8, Bloomington, MN 55425-1230

PECOS Enrollment

This provider is enrolled in PECOS as KELCIE RICHMOND.

Based on the most recent information from CMS, provider Kelcie M Richmond is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1851996128
Provider Type
Individual
Full Name
Richmond, Kelcie M
Credential
MS, LPCC

Gender
Female
Sole Proprietor
No
Enumeration Date
12/3/2020
Last Updated
10/24/2023

Contact Information

Practice Location

1801 American Blvd E Ste 8, Bloomington, MN 55425-1230

(952) 767-2267

Unlisted Fax

Mailing Location

1801 American Blvd E Ste 8, Bloomington, MN 55425-1230

(952) 767-2267

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer

Kelcie M Richmond

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Mohamed, Eman

Da'Ud, Hafza

Ali, Aniso

Jimaale, Mumina Rabe

Farah, Kamar

Abdullahi, Abdiwadud Muse

Ali, Sahra

Ali, Yusra A

Farah, Najax O

Gurre, Mohamed Abdi