Provider Demographics
NPI:1437391208
Name:HARTMEYER, RICHARD JOHN JR (LPC, LADC)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:JOHN
Last Name:HARTMEYER
Suffix:JR
Gender:M
Credentials:LPC, LADC
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 7281
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64113-0281
Mailing Address - Country:US
Mailing Address - Phone:913-749-7600
Mailing Address - Fax:888-972-4037
Practice Address - Street 1:6225 BROOKSIDE BLVD STE 235
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64113-1633
Practice Address - Country:US
Practice Address - Phone:913-749-7600
Practice Address - Fax:888-972-4037
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-25
Last Update Date:2015-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK203101YA0400X
OK2966101YP2500X
MO2005039193101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
11518214OtherCAQH