Provider Demographics
NPI:1033212428
Name:SEARS, RICHARD KARL (MED LPC-S)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:KARL
Last Name:SEARS
Suffix:
Gender:M
Credentials:MED LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 50392
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76206-0392
Mailing Address - Country:US
Mailing Address - Phone:512-753-2900
Mailing Address - Fax:407-585-0099
Practice Address - Street 1:205 BLACKBERRY WAY
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76210-5274
Practice Address - Country:US
Practice Address - Phone:940-594-5234
Practice Address - Fax:940-758-5009
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-07
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10358101YP2500X
TX94201101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX142636301Medicaid
TX2984LCOtherBCBS