Provider Demographics
NPI:1649416249
Name:RICHARDS, JANET KAREN (LPCC-S LICDC-CS)
Entity Type:Individual
Prefix:MRS
First Name:JANET
Middle Name:KAREN
Last Name:RICHARDS
Suffix:
Gender:F
Credentials:LPCC-S LICDC-CS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 7TH STREET AVENUE NW
Mailing Address - Street 2:ST 201
Mailing Address - City:NORTH CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44720-6230
Mailing Address - Country:US
Mailing Address - Phone:234-209-9686
Mailing Address - Fax:234-209-9686
Practice Address - Street 1:116 7TH STREET AVENUE NW
Practice Address - Street 2:ST 201
Practice Address - City:NORTH CANTON
Practice Address - State:OH
Practice Address - Zip Code:44720-6230
Practice Address - Country:US
Practice Address - Phone:234-209-9686
Practice Address - Fax:234-209-9686
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-02
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0601011-SUPV101Y00000X, 101YM0800X
OH161022101YA0400X
OHE0601011101YP2500X
OHC 0601011101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health