Mary Carmen Randleman, M.ED., LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4855 Issued in OK

Practice address

207 N Oak St Ste 5
Sallisaw, OK 74955-4602

Phone

(918) 724-6449

Fax

(918) 208-0687

NPI assigned

Jun 24, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 6

Addresses

Other identifiers 2

Other names 1

• M Carmen Randleman Professional name

Medicare fee-for-service enrollment

Enrolled in TX

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

Mental Health Counselor

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Resilience Center of Houston LLCGroup PAC ID 6305131517, 51 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education

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.

• The Resilience Center of Houston, LLC

  • Marriage & Family Therapist
  • Cypress, TX
  • NPI 1821475039

  Mental Health

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695945600000",
    "number": "1083875769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1084",
            "city": "SALLISAW",
            "state": "OK",
            "postal_code": "749551084",
            "telephone_number": "918-724-6449",
            "fax_number": "918-208-0687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 N OAK ST STE 5",
            "city": "SALLISAW",
            "state": "OK",
            "postal_code": "749554602",
            "telephone_number": "918-724-6449",
            "fax_number": "918-208-0687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDLEMAN",
        "first_name": "MARY",
        "middle_name": "CARMEN",
        "credential": "M.ED., LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-24",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "OK",
            "license": "229640",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "4855",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200456660 A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200378480",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "M CARMEN",
            "last_name": "RANDLEMAN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Qualls & Associates, Inc.
• Sarah Beth Rader, OTR/L
• Stacey Lynn Ragsdale
• Albis Ramos
• Randi Kennedy Gray, D.D.S., PLLC
• Chelsea Agent Real, DNP, APRN, FNP-C
• Timothy Ryan Reason, COTA/L
• Molly Reed
• Holli Deanna Reherman
• Lindsey Erin Reid

• Professional Counselor in Sallisaw, OK
• Providers in Sallisaw, OK by specialty
• Professional Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; 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.