HEATHER RANDOLPH (NPI# 1376045351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376045351 |
| Entity Type | Individual |
| Full Name | HEATHER RANDOLPH |
| Practice Address |
1280 Main St Buffalo NY 14209-1912 |
| Mailing Address |
227 Thorn Ave Orchard Park NY 14127-2600 |
| Practice Telephone | 7168845797 |
| Practice Fax Number | 7168820293 |
| Mailing Telephone | 7166622040 |
| Mailing Fax Number | 7166620019 |
| Enumeration Date | 2018-03-06 |
| Last Update Date | 2018-03-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275898520 | Heather Ann Randolph | Speech-Language Pathologist | 11231 Hidden Peak Ave Unit 21o, Las Vegas, NV 89135-3595 | 2012-07-11 |
| 1861659302 | Heather W. Randolph | Psychologist | 7511 New Lagrange Rd, Louisville, KY 40222-4859 | 2008-05-21 |
| 1417098112 | Heather Jean Randolph | Counselor | 1500 W Ashland St, Nevada, MO 64772-1710 | 2007-02-08 |
| Street Address |
1280 MAIN ST |
| City | BUFFALO |
| State | NY |
| Zip Code | 14209-1912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275133555 | Amie Martinez | Counselor | 1280 Main St, Buffalo, NY 14209-1966 | 2020-10-27 |
| 1205436581 | Ericka Shaw | Counselor | 1280 Main St, Buffalo, NY 14209-1966 | 2020-10-27 |
| 1487273090 | Dominick Newell | Social Worker | 1280 Main St, Buffalo, NY 14209-1966 | 2020-04-14 |
| 1881220952 | Lakeshia Young | Social Worker | 1280 Main St, Buffalo, NY 14209-1966 | 2020-03-20 |
| 1447884127 | Allison M Plunkett | Social Worker | 1280 Main St, Buffalo, NY 14209-1966 | 2020-03-03 |
| 1336772060 | Shonda Mcdowell | Case Manager/Care Coordinator | 1280 Main St, Buffalo, NY 14209-1966 | 2020-02-21 |
| 1649803610 | Virginia Hughes | Case Manager/Care Coordinator | 1280 Main St, Buffalo, NY 14209-1966 | 2020-02-19 |
| 1023641941 | Jessica Gramza | Counselor | 1280 Main St, Buffalo, NY 14209-1966 | 2020-02-19 |
| 1376176248 | Savanna Baughman | Case Manager/Care Coordinator | 1280 Main St, Buffalo, NY 14209-1966 | 2020-02-19 |
| 1528699659 | Demetri Realmuto | Case Manager/Care Coordinator | 1280 Main St, Buffalo, NY 14209-1966 | 2020-01-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053924522 | Graham Joshua Anderson | Peer Specialist | 64 Linwood Ave., Buffalo, NY 14209 | 2020-08-25 |
| 1881101954 | Western New York Integrated Care Collaborative, Inc. | Dietitian, Registered | 742 Delaware Avenue, Buffalo, NY 14209 | 2018-01-10 |
| 1679021158 | Dawn Harrison | Nurse Practitioner | 935 Delaware Ave., Suite 300, Buffalo, NY 14209 | 2016-09-14 |
| 1194272799 | Joseph Michael Dellavalle | Physical Therapist | 969 Ellicott Street, Buffalo, NY 14209 | 2016-09-01 |
| 1205280245 | Upasana Kochhar | Family Medicine | 1091 Main Street, 301, Williamsville, NY 14209 | 2016-04-15 |
| 1699177485 | Emily Catherine Gorman | Dietitian, Registered | 1084 Delaware Ave, Buffalo, NY 14209 | 2014-09-23 |
| 1003166091 | Kaleida Health | General Acute Care Hospital | 1045 W. Delavan Ave, Buffalo, NY 14209 | 2012-09-17 |
| 1871885798 | Oncomed The Oncology Pharmacy of Buffalo Ny LLC | Pharmacy | 1100 Main St Ste 100, Buffalo, NY 14209 | 2011-05-11 |
| 1740583723 | Aryan Wahab | Student in an Organized Health Care Education/Training Program | 3 Gates Circle, 9th Floor, Millard Filmore Gates Hospital, Buffalo, NY 14209 | 2010-12-13 |
| 1841500873 | Nicole Curtin | Chiropractor | 1275 Main St, Suite 110, Buffalo, NY 14209 | 2010-10-08 |
| Find all providers in zip 14209 | ||||
| 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 |
|---|---|---|---|---|
| 1740888916 | Katie Glynn | Counselor | 254 Franklin St Fl 2, Buffalo, NY 14202-1932 | 2020-10-11 |
| 1376141655 | Deborah Elaine Ricci | Counselor | 43o Niagara Sq, Buffalo, NY 14202 | 2020-10-09 |
| 1184233603 | Dominique Dawn Barker | Counselor | 255 Delaware Ave Fl 4, Buffalo, NY 14202-2016 | 2020-07-30 |
| 1831716208 | Meagan Licata | Counselor | Bestself Behavioral Health, 255 Delaware Ave Ste 300, Buffalo, NY 14202 | 2020-07-01 |
| 1225668270 | Edward Todd Harris IIi | Counselor | 224 Oakridge Ave, Buffalo, NY 14217-1165 | 2020-01-17 |
| 1508404401 | Gabrielle Korman | Counselor | 70 Jewett Parkway, Buffalo, NY 14214 | 2019-12-11 |
| 1609430990 | Kerry E Quinn | Counselor | 430 Niagara St Lowr, Buffalo, NY 14201-1886 | 2019-04-23 |
| 1740748680 | Demire Coffin-williams | Counselor | 89 Butler Ave Uppr, Buffalo, NY 14208-1517 | 2019-03-11 |
| 1730646514 | Jaclyn Marie Burnett | Counselor | 3108 Main St Apt 4, Buffalo, NY 14214-1362 | 2019-02-27 |
| 1669949749 | Mohammed Hamideh | Counselor | 1150 Hertel Ave, Buffalo, NY 14216-2704 | 2018-10-27 |
| Find all providers in BUFFALO | ||||
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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.