HEATHER JEAN RANDOLPH (NPI# 1417098112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417098112 |
| Entity Type | Individual |
| Full Name | HEATHER JEAN RANDOLPH |
| Credential | LPC |
| Practice Address |
1500 W Ashland St Nevada MO 64772-1710 |
| Mailing Address |
1034 N Cedar St Nevada MO 64772-1437 |
| Practice Telephone | 4176672666 |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
2004032818 | MO | 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 |
| 1376045351 | Heather Randolph | Counselor | 1280 Main St, Buffalo, NY 14209-1912 | 2018-03-06 |
| 1861659302 | Heather W. Randolph | Psychologist | 7511 New Lagrange Rd, Louisville, KY 40222-4859 | 2008-05-21 |
| Street Address |
1500 W ASHLAND ST |
| City | NEVADA |
| State | MO |
| Zip Code | 64772-1710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528069101 | Great Plains Hospital Inc | Psychiatric Hospital | 1500 W Ashland St, Nevada, MO 64772-1710 | 2005-08-09 |
| 1144831496 | Danielle Leann Rolph | Counselor | 1500 W Ashland St, Nevada, MO 64772-1710 | 2020-08-11 |
| 1821628249 | Clara Michelle Lynn Sands | Social Worker | 1500 W Ashland St, Nevada, MO 64772-1710 | 2020-01-24 |
| 1316594559 | Renee Sydney Pendleton | Nurse Practitioner | 1500 W Ashland St, Nevada, MO 64772-1710 | 2019-08-22 |
| 1386205896 | Kelsey D. Tomlin | Social Worker | 1500 W Ashland St, Nevada, MO 64772-1710 | 2019-06-25 |
| 1972167773 | Great Plains Hospital | Psychologist | 1500 W Ashland St, Nevada, MO 64772-1710 | 2019-04-26 |
| 1295291672 | Jennifer K Doyle | Counselor | 1500 W Ashland St, Nevada, MO 64772-1710 | 2019-02-11 |
| 1285125179 | Cynthia Graham I | Counselor | 1500 W Ashland St, Nevada, MO 64772-1710 | 2018-05-25 |
| 1386133130 | Megan Kathleen Finkentey | Social Worker | 1500 W Ashland St, Nevada, MO 64772-1710 | 2018-05-08 |
| 1831617687 | Chrystie Lyn Braden | Counselor | 1500 W Ashland St, Nevada, MO 64772-1710 | 2017-08-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184116170 | Elizabeth Hoang | Dentist | 14054 Us-54, Nevada, MO 64772 | 2018-06-05 |
| 1376056424 | Chelsea Deines | Social Worker | 19940 S. 1481 Road, Nevada, MO 64772 | 2017-11-13 |
| 1558712422 | Ozark Tri County Healthcare Consortium | Dentist | 204 N Cedar, Nevada, MO 64772 | 2016-06-22 |
| 1144605312 | Nevada City Hospital | Clinic/Center | 627 S Ash St Ste B, Nevada, MO 64772 | 2015-07-29 |
| 1205233129 | Julie Ann Parker | Dental Hygienist | 204 North Cedar, Nevada, MO 64772 | 2014-11-20 |
| 1023432101 | Ashley Mckinney | Speech-Language Pathologist | 811 W Hickory, Nevada, MO 64772 | 2014-02-11 |
| 1477975183 | Krc 1505 Health Care Services LLC | Assisted Living Facility | 1505 East Ashland Street, Nevada, MO 64772 | 2014-01-15 |
| 1649520727 | Kathy J Hallam | Registered Nurse | 320 N Mac Boulevard, Nevada, MO 64772 | 2012-09-14 |
| 1396090916 | Emily Lane | Speech-Language Pathologist | 16927 S 1413 Rd, Nevada, MO 64772 | 2012-07-19 |
| 1427385517 | Nevada City Hospital | Clinic/Center | 345 S Barrett Ln., Nevada, MO 64772 | 2009-11-10 |
| Find all providers in zip 64772 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386778082 | Tammy Ray Christensen | Counselor | 100 S Prewitt, Allied Mental Health Associates, Nevada, MO 64772 | 2007-03-15 |
| 1699845719 | Yvonne A. Cordeiro | Counselor | 429 N Washington St, Nevada, MO 64772-2346 | 2006-11-08 |
| 1174180012 | Tiffany Ann Pruitt | Counselor | 210 S Elm St, Nevada, MO 64772-3413 | 2019-05-27 |
| 1295291672 | Jennifer K Doyle | Counselor | 1500 W Ashland St, Nevada, MO 64772-1710 | 2019-02-11 |
| 1831617687 | Chrystie Lyn Braden | Counselor | 1500 W Ashland St, Nevada, MO 64772-1710 | 2017-08-31 |
| 1558819458 | Katherine Hogsett | Counselor | 815 S Ash St, Nevada, MO 64772-3222 | 2016-09-20 |
| 1427254366 | Rick Allen Miller | Counselor | 320 Mac Blvd, Nevada, MO 64772 | 2007-06-26 |
| 1316022338 | Mark H Comensky | Counselor | 300 W Cherry St, Nevada, MO 64772-2202 | 2006-10-26 |
| 1598840597 | Michalene Leon Gire | Counselor | 300 W Cherry St, Nevada, MO 64772-2202 | 2006-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720329 | Come As You Are Counseling LLC | Counselor | 1001 Boardwalk Springs Place, Suite 111, O Fallon, MO 63368 | 2020-11-04 |
| 1922606375 | Dana M. Powell and Associates, LLC | Counselor | 1108 Valentine St, Festus, MO 63028-1254 | 2020-10-16 |
| 1386242485 | The Oak Center for Dbt & Counseling Services, LLC | Counselor | 19 E Walnut St Ste D, Columbia, MO 65203-4505 | 2020-10-12 |
| 1407454549 | Andrea Strauch | Counselor | 2024 W Chestnut Expressway Way, Springfield, MO 65802 | 2020-10-12 |
| 1235736588 | Roberta Kerosevic | Counselor | 12203 Big Bend Rd Ste 101, Saint Louis, MO 63122-6848 | 2020-10-08 |
| 1720685787 | Patricia Ann Katzfey | Counselor | 1605 Baxter Forest Ridge Ct, Chesterfield, MO 63005-4660 | 2020-10-02 |
| 1528665726 | Kimberly Cappetta | Counselor | 4567 W Pine Blvd Apt 710, Saint Louis, MO 63108-2192 | 2020-10-01 |
| 1871100834 | Curtis Lee Cook | Counselor | 412 Washington Ave, West Plains, MO 65775-3432 | 2020-09-24 |
| 1437765161 | Sarissa Joy Adams | Counselor | 1915 E Nottingham St, Springfield, MO 65804-7733 | 2020-09-18 |
| 1023623816 | Hannah Rachelle Tinnin | Counselor | 209 N Cowling St, Desloge, MO 63601-3132 | 2020-09-09 |
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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.