Cynthia Nicole Randles, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

7134 Issued in MT

Practice address

415 N Higgins Ave
Suite 122
Missoula, MT 59802-4557

Phone

(406) 203-6937

Fax

(844) 965-9168

NPI assigned

Jan 8, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MT

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

Specialty

Clinical Social Worker

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Roots and Wings Counseling Willow Tree Wellness LLC

  • Clinical Social Worker
  • Missoula, MT
  • NPI 1407220767
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1389139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449187200000",
    "number": "1043632177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 N HIGGINS AVE",
            "address_2": "SUITE 122",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024557",
            "telephone_number": "406-203-6937",
            "fax_number": "844-965-9168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 N HIGGINS AVE",
            "address_2": "SUITE 122",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024557",
            "telephone_number": "406-203-6937",
            "fax_number": "844-965-9168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDLES",
        "first_name": "CYNTHIA",
        "middle_name": "NICOLE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-08",
        "last_updated": "2015-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MT",
            "license": "7134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valarie D Ramsbacher, RPH
• James Wilson Ramsey, LCPC
• Kimberly Ramsey
• Laurie Jean Randall, LAC, RN
• Thomas Randall, MD
• Hayli Randolph
• Donna Ranf, R.PH.
• Range Counseling PLLC
• Range Physical Therapy & Wellness PLLC
• Susan Michal Rangitsch, ED.D.

• Social Worker in Missoula, MT
• Providers in Missoula, MT by specialty
• Social Worker in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.