MS. JENNIFER T. RANDOLPH


Address: 1129 11th St Nw, Washington, DC 20001-4354
Phone: 2022169065

MS. JENNIFER T. RANDOLPH (NPI# 1326164898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326164898
Entity Type Individual
Full Name MS. JENNIFER T. RANDOLPH
Credential LPC, LCPC
Practice Address 1129 11th St Nw
Washington
DC 20001-4354
Mailing Address 7612 Lexington Ave
Laurel
MD 20707-5830
Practice Telephone 2022169065
Practice Fax Number 2022169585
Mailing Telephone 3018758190
Enumeration Date 2007-03-22
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
PRC1328 DC Behavioral Health & Social Service Providers

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Office Location

Street Address 1129 11TH ST NW
City WASHINGTON
State DC
Zip Code 20001-4354

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922158344 Aaron James Jones IIi Counselor 1129 11th St Nw, 2nd Floor, Washington, DC 20001-4354 2007-01-10

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NPI Name Taxonomy Address Enumeration
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

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Competitor

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City WASHINGTON
Zip Code 20001

Improve Information

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Dataset Information

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.

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