Individual provider Active NPI

Randy Edward North, M.A., LPC, LMFT

  • Mental Health Counselor
  • Lake Charles, LA
National Provider Identifier
1033230040
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1990 Issued in LA
Practice address
2711 Ernest St
Lake Charles, LA 70601-8406
Phone
(337) 431-7194
Fax
(337) 431-7198
NPI assigned
Apr 3, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1990 LA Primary

Addresses

Primary practice location

2711 Ernest St
Lake Charles, LA 70601-8406

Mailing address

2711 Ernest St
Lake Charles, LA 70601-8406
Phone (337) 431-7194

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241023001955 LA Practitioner - Mental Health Counselor 8426385741 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Disney & Associates, Inc Mental Health CurrentSince Sep 12, 2024 Accepting new patients
Counseling Services of Southwest Louisiana, Inc. Mental Health PastSince Jan 1, 1996 Accepting new patients

Locations

133 Jefferson Dr
Lake Charles, LA 70605
Phone (337) 431-7194

2711 Ernest St
Lake Charles, LA 70601
Phone (337) 431-7194

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033230040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 ERNEST ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018406",
            "telephone_number": "337-431-7194",
            "fax_number": "337-431-7198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 ERNEST ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018406",
            "telephone_number": "337-431-7194",
            "fax_number": "337-431-7198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORTH",
        "first_name": "RANDY",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "M.A., LPC, LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "1990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.