KIA RANDALL (NPI# 1891331153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891331153 |
| Entity Type | Individual |
| Full Name | KIA RANDALL |
| Practice Address |
489 Main St Prince Frederick MD 20678-3187 |
| Mailing Address |
Po Box 2924 La Plata MD 20646-2984 |
| Practice Telephone | 3016099887 |
| Mailing Telephone | 3016099887 |
| Enumeration Date | 2019-11-21 |
| Last Update Date | 2019-11-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
489 MAIN ST |
| City | PRINCE FREDERICK |
| State | MD |
| Zip Code | 20678-3187 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962403337 | Robin Carol Brungard | Social Worker | 489 Main St, Suite 102, Prince Frederick, MD 20678-3187 | 2005-08-09 |
| 1538792692 | Xiaojing Huang | Counselor | 489 Main St, Prince Frederick, MD 20678-3187 | 2020-02-18 |
| 1497108120 | Center for Children Inc. | Home Health | 489 Main St, Prince Frederick, MD 20678-3187 | 2016-07-18 |
| 1043663172 | Juliana Cox | Social Worker | 489 Main St, Prince Frederick, MD 20678-3187 | 2016-07-13 |
| 1285092007 | Elaine Kyle | Counselor | 489 Main St, Suite 202, Prince Frederick, MD 20678-3187 | 2016-02-08 |
| 1376909572 | Brungard Counseling Services | Social Worker | 489 Main St, Suite 102, Prince Frederick, MD 20678-3187 | 2016-01-05 |
| 1144696402 | Jennifer Bevard | Psychologist | 489 Main St, Prince Frederick, MD 20678-3187 | 2015-08-20 |
| 1497132781 | Katelynn Pearson | Social Worker | 489 Main St, Prince Frederick, MD 20678-3187 | 2015-05-06 |
| 1104218767 | Center for Children Inc. | Community/Behavioral Health | 489 Main St, Suite 202, Prince Frederick, MD 20678-3187 | 2015-02-19 |
| 1134527575 | Center for Children, Inc. | Case Management | 489 Main St, Suite 202, Prince Frederick, MD 20678-3187 | 2014-12-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861857500 | Watershed Counseling Service | Counselor | 246 Merrimac Court, Prince Frederick, MD 20678 | 2015-12-23 |
| 1023449642 | Mary Gordon Walter | Registered Nurse | 976 Solomans Island Road, Prince Frederick, MD 20678 | 2013-12-07 |
| 1891126827 | Jacqueline Leclercq | Nurse Practitioner | 110 Hospital Road Suite 303, Prince Frederick, MD 20678 | 2013-12-02 |
| 1174959001 | Linsey Rowe Heane | Physical Therapist | 110 Main Street Suite 1, Prince Frederick, MD 20678 | 2013-09-24 |
| 1053607002 | Tidewater Dental Pf | Dentist | 690 Prince Frederick Blvd, Prince Frederick, MD 20678 | 2011-06-28 |
| 1033411558 | Sharon Patricia Parran | Pharmacist | 80 W.dares Beach Road, Prince Frederick, MD 20678 | 2010-12-04 |
| 1366684326 | Prince Frederick Surgery Center LLC | Clinic/Center | 70 Sherry Lane, Suite 101, Prince Frederick, MD 20678 | 2009-04-06 |
| 1982844734 | Orthocare Solutions Inc | Durable Medical Equipment & Medical Supplies | 220 Old Solomans Island Rd, Prince Frederick, MD 20678 | 2009-03-05 |
| 1225273519 | Rebecca Lynn Jahed | Audiologist | 3180 Blackberry Lane, Prince Frederick, MD 20678 | 2008-12-16 |
| 1669639209 | Ralph Walter Niemann | Dentist | 272 Merrimac Court, Prince Frederick, MD 20678 | 2008-05-21 |
| Find all providers in zip 20678 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275194656 | Ellen Hahn-hokrein | Counselor | 218 Merrimac Ct, Prince Frederick, MD 20678-6113 | 2019-06-26 |
| 1902114028 | Meredith Drumm | Counselor | 3695 Hallowing Point Rd, Prince Frederick, MD 20678-3468 | 2010-09-23 |
| 1790093664 | Spencer Byrnes | Counselor | 440 Solomons Island Rd N, Suite 222, Prince Frederick, MD 20678-3909 | 2010-09-14 |
| 1659304384 | Kondra Mia Fulmer | Counselor | 975 N Selomons Island, Prince Frederick, MD 20678 | 2006-07-08 |
| 1598389447 | Shaurice Allen | Counselor | 65 Duke St Ste 203, Prince Frederick, MD 20678-6128 | 2020-06-05 |
| 1538792692 | Xiaojing Huang | Counselor | 489 Main St, Prince Frederick, MD 20678-3187 | 2020-02-18 |
| 1720620925 | Meghan Leisl Bernier | Counselor | 65 Duke St Ste 203, Prince Frederick, MD 20678-6128 | 2019-10-09 |
| 1891195319 | Harry Goldwater | Counselor | 489 Main St, Prince Frederick, MD 20678-3187 | 2014-09-03 |
| 1568879740 | Lashann M. Freeman | Counselor | 590 Main St, Prince Frederick, MD 20678-3346 | 2014-07-19 |
| 1215298583 | Heidi Pappert | Counselor | 1305 Dares Beach Rd, Prince Frederick, MD 20678-4208 | 2012-06-04 |
| Find all providers in PRINCE FREDERICK | ||||
| City | PRINCE FREDERICK |
| Zip Code | 20678 |
Please comment or provide details below to improve the information on KIA RANDALL.
| 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.