Individual provider Active NPI

Allyson Randall, LPCC

  • Mental Health Counselor
  • Albuquerque, NM
National Provider Identifier
1154853695
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CCMH0212641 Issued in NM
Practice address
1101 Medical Arts Ave NE BLDG 3
Albuquerque, NM 87102-2722
Phone
(505) 933-4639
NPI assigned
Apr 3, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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 CCMH0212641 NM Primary

Addresses

Primary practice location

1101 Medical Arts Ave NE BLDG 3
Albuquerque, NM 87102-2722

Mailing address

1101 Medical Arts Ave NE BLDG 3
Albuquerque, NM 87102-2722

Other identifiers 1

IdentifierTypeStateIssuer
70655731MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20241031000734 NM Practitioner - Mental Health Counselor 4486187309 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Small Steps Child Counseling, LLC Mental Health CurrentSince Oct 18, 2024 Accepting new patients

Locations

1101 Medical Arts Ave NE
Bldg 3
Albuquerque, NM 87102
Phone (505) 842-5300

707 Broadway Blvd NE
Ste 103
Albuquerque, NM 87102
Phone (505) 766-9361

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1154853695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 MEDICAL ARTS AVE NE BLDG 3",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 MEDICAL ARTS AVE NE BLDG 3",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022722",
            "telephone_number": "505-933-4639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDALL",
        "first_name": "ALLYSON",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-03",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "CCMH0212641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "70655731",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.