MR. RANDOLPH SCOTT HOLLINGSWORTH (NPI# 1285871855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285871855 |
| Entity Type | Individual |
| Full Name | MR. RANDOLPH SCOTT HOLLINGSWORTH |
| Credential | LPC/:ISAC |
| Practice Address |
155 Calle Portal Ste 300 Sierra Vista AZ 85635-2900 |
| Mailing Address |
1205 N F Ave Douglas AZ 85607-1920 |
| Practice Telephone | 5204593011 |
| Practice Fax Number | 5203644261 |
| Mailing Telephone | 5203646852 |
| Mailing Fax Number | 5203644261 |
| Enumeration Date | 2009-01-19 |
| Last Update Date | 2020-01-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | LPC -12687 | AZ | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LISAC-10504 | AZ | Behavioral Health & Social Service Providers |
| Street Address |
155 CALLE PORTAL STE 300 |
| City | SIERRA VISTA |
| State | AZ |
| Zip Code | 85635-2900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932120870 | Bruce E Silva Md and Kenneth S. Kacenga Do Pllc | Obstetrics & Gynecology | 155 Calle Portal Ste 300, Sierra Vista, AZ 85635-2900 | 2006-07-23 |
| 1811527708 | Kara Joy Merrell | Nurse Practitioner | 155 Calle Portal Ste 300, Sierra Vista, AZ 85635-2900 | 2020-01-20 |
| 1376100594 | Danielle Ernestine Green | Dentist | 155 Calle Portal Ste 300, Sierra Vista, AZ 85635-2900 | 2019-05-22 |
| 1013498328 | Nicole Lee Williams | Dietitian, Registered | 155 Calle Portal Ste 300, Sierra Vista, AZ 85635-2900 | 2018-08-24 |
| 1245726447 | Jennifer Renee Schafer | Nurse Practitioner | 155 Calle Portal Ste 300, Sierra Vista, AZ 85635 | 2018-07-11 |
| 1467954594 | Chelsey M Housley | Dietitian, Registered | 155 Calle Portal Ste 300, Sierra Vista, AZ 85635-2900 | 2018-03-05 |
| 1467972133 | Rebecca Lamas | Nurse Practitioner | 155 Calle Portal Ste 300, Sierra Vista, AZ 85635-2900 | 2017-06-23 |
| 1689111817 | Christine Grassman | Nurse Practitioner | 155 Calle Portal Ste 300, Sierra Vista, AZ 85635-2900 | 2017-01-25 |
| 1386187680 | Sherri Arenas | Counselor | 155 Calle Portal Ste 300, Sierra Vista, AZ 85635-2900 | 2016-11-18 |
| 1396127742 | Katrina Ventura-morano | Internal Medicine | 155 Calle Portal Ste 300, Sierra Vista, AZ 85635 | 2015-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134740640 | Taylor Anne Phelps | Student in an Organized Health Care Education/Training Program | Haven of Sierra Vista LLC, 660 Coronado Drive, Sierra Vista, AZ 85635 | 2020-05-06 |
| 1568001543 | Gp Medicine, Pllc | Family Medicine | 1800 E Wilcox Drive, Sierra Vista, AZ 85635 | 2019-12-23 |
| 1518515212 | Canyon Vista Dental | Dentist | 1993 S Frontage Road, Suite 208, Sierra Vista, AZ 85635 | 2019-08-27 |
| 1225697402 | Kristine Vincent Cruz Angeles | Dentist | 115 Calle Poral, Sierra Vista, AZ 85635 | 2019-06-11 |
| 1700397411 | Vivian Ryu | Social Worker | 2300 E Fry Blvd, #3822, Sierra Vista, AZ 85635 | 2017-10-20 |
| 1750806758 | Rosemary Nduta Kagwanja | Technician | 425 Bernini Avenue, N/a, Sierra Vista, AZ 85635 | 2017-08-10 |
| 1093245789 | Akdhc, LLC | Internal Medicine | 5555 Mesa Verde Dr, Suite 100, Sierra Vista, AZ 85635 | 2017-06-14 |
| 1609304633 | Vincent Guarino | Emergency Medicine | 5700 E, Az-90, Sierra Vista, AZ 85635 | 2017-06-04 |
| 1629506811 | Andrew Tang | Student in an Organized Health Care Education/Training Program | 5700 Arizona 90, Sierra Vista, AZ 85635 | 2017-06-01 |
| 1194259382 | Walik Hargett | Contractor | 800 N. Lenzner Ave Apt 776b, Sierra Vista, AZ 85635 | 2017-04-14 |
| Find all providers in zip 85635 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508378266 | Angelika C Babcock | Counselor | 500 E Fry Blvd, Sierra Vista, AZ 85635-1839 | 2017-11-02 |
| 1790176345 | Monica Lervold | Counselor | 942 E Fry Blvd, Sierra Vista, AZ 85635-2640 | 2015-02-17 |
| 1356775548 | Shirley Gattis | Counselor | 4888 Barranca Arbolada, Sierra Vista, AZ 85635-5732 | 2013-08-24 |
| 1528340338 | Janet Boursier | Counselor | 1865 Paseo San Luis Ste C, Sierra Vista, AZ 85635-5816 | 2011-09-16 |
| 1669087052 | Sarita Fager | Counselor | 4669 N Commerce Dr Ste 4a, Sierra Vista, AZ 85635-2497 | 2020-09-11 |
| 1114471067 | Lindy N Cain | Counselor | 75 N Garden Ave, Sierra Vista, AZ 85635-3805 | 2016-08-09 |
| 1508231457 | Theresa Chiu | Counselor | 75 N Garden Ave, Sierra Vista, AZ 85635-3805 | 2015-12-03 |
| 1811273568 | Tides of Change | Counselor | 333 W Wilcox Dr, Ste. 303, Sierra Vista, AZ 85635-1789 | 2011-10-26 |
| 1144439969 | Lisa Rae Carrie | Counselor | 801 N Lenzner Ave, Sierra Vista, AZ 85635-0905 | 2007-05-21 |
| 1306061932 | Gary F Oberg | Counselor | 4755 Campus Dr, Sierra Vista, AZ 85635-2449 | 2007-04-17 |
| Find all providers in SIERRA VISTA | ||||
| City | SIERRA VISTA |
| Zip Code | 85635 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.