Elizabeth Christine Randolph-Greene, M.S., LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

CP5880 Issued in NV

Practice address

4773 Caughlin Pkwy
Reno, NV 89519-1011

Phone

(775) 221-7400

NPI assigned

Jul 12, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Elizabeth Christine Randolph-Greene Professional name

Medicare fee-for-service enrollment

Enrolled in NV

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, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Ideal Mental Health LLCGroup PAC ID 9931545845, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/13354/brand/1/csg/1/fhir/r4
• Direct secure messaging: elizabeth.randolph-greene.1@13354.direct.athenahealth.com

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.

• Ideal Mental Health LLC

  • Clinical Social Worker
  • Reno, NV
  • NPI 1902660277
  Medicare reassignment Care Compare group NPD
• Duncan Family Healthcare PLLC

  • Primary Care Clinic/Center
  • Reno, NV
  • NPI 1174913024
  Medicare reassignment NPD

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

{
    "created_epoch": "1468281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1104278241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1082 DAVOL ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027201124",
            "telephone_number": "508-678-2833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4773 CAUGHLIN PKWY",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895191011",
            "telephone_number": "775-221-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDOLPH-GREENE",
        "first_name": "ELIZABETH",
        "middle_name": "CHRISTINE",
        "credential": "M.S., LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-12",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NV",
            "license": "01670-L",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NV",
            "license": "CP5880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "RANDOLPH-GREENE",
            "middle_name": "CHRISTINE",
            "credential": "M.S., LCPC, LCADC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Robert Gene Rand, MD
• Adrienne Elizabeth Randall-Stanis, LCSW
• Lisa Randall
• Vicki Randall
• Nadine Randle
• Elon Randolph
• Taylor Randolph
• Rajesh Rangaswamy, MD
• Ryan Peter Range
• Hailey Colleen Rankin

• Professional Counselor in Reno, NV
• Providers in Reno, NV by specialty
• Professional Counselor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; 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.