Organization Active NPI

Therapractic Management Systems

  • Counselor
  • Lubbock, TX
National Provider Identifier
1144790130
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
THERAPRACTIC MANAGEMENT SYSTEMS
Practice address
5147 69TH St Ste D
Lubbock, TX 79424-1646
Phone
(806) 771-8808
Fax
(806) 771-8809
NPI assigned
Dec 3, 2018
Last updated
Jan 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Authorized official

Name
Patrick David Randolph, PH.D.NPI 1013060946
Title
Licensed Psychologist
Phone
(806) 771-8808

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU Primary
Psychologist 103T00000X NU
Clinical Social Worker 1041C0700X NU

Addresses

Primary practice location

5147 69TH St Ste D
Lubbock, TX 79424-1646

Mailing address

5147 69TH St Ste D
Lubbock, TX 79424-1646
Phone (806) 771-8808

National Provider Directory

National Provider Directory

Locations

5147 69th St
Ste D
Lubbock, TX 79424
Phone (806) 687-3866

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1543795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704153600000",
    "number": "1144790130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5147 69TH ST STE D",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794241646",
            "telephone_number": "806-771-8808",
            "fax_number": "806-771-8809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5147 69TH ST STE D",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794241646",
            "telephone_number": "806-771-8808",
            "fax_number": "806-771-8809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPRACTIC MANAGEMENT SYSTEMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-03",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A",
        "authorized_official_last_name": "RANDOLPH",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "806-771-8808",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.