Curtis Glen Randolph, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC-2058 Issued in AZ

Practice address

2187 N Vickey St
Flagstaff, AZ 86004-6106

Phone

(928) 714-6449

NPI assigned

Sep 7, 2007

Sex

Male

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 AZ

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, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Native Americans for Community Action IncGroup PAC ID 5597740464, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ashlyn.james.p1@direct.nacainc.nextgenshare.com
• Direct secure messaging: samantha.wahl.p1@direct.nacainc.nextgenshare.com
• Direct secure messaging: curtis.randolph.p1@direct.nacainc.nextgenshare.com
• Direct secure messaging: stelarissa.brown.p1@direct.nacainc.nextgenshare.com
• Direct secure messaging: kyra.vandever.p1@direct.nacainc.nextgenshare.com
• Direct secure messaging: teri.navakuku.p1@direct.nacainc.nextgenshare.com
• Direct secure messaging: gary.davis.p1@direct.nacainc.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: monica.whicker.p1@direct.nacainc.nextgenshare.com
• Direct secure messaging: shoshana.james.p1@direct.nacainc.nextgenshare.com
• Direct secure messaging: angelina.tso.p1@direct.nacainc.nextgenshare.com
• Direct secure messaging: brandie.franco.p1@direct.nacainc.nextgenshare.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.

• Native Americans for Community Action, Inc

  • Federally Qualified Health Center (FQHC)
  • Flagstaff, AZ
  • NPI 1053326751
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189123200000",
    "number": "1184819781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2187 N VICKEY ST",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860046106",
            "telephone_number": "928-714-6449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2187 N VICKEY ST",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860046106",
            "telephone_number": "928-714-6449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDOLPH",
        "first_name": "CURTIS",
        "middle_name": "GLEN",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-07",
        "last_updated": "2007-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-2058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Ramirez
• Paula D Rand, MD
• Amber Louise Randall, M.D.
• Bryce Aldworth Randall, CRNA
• Stephen Randazzo, NP
• Matthew Randolph, DO
• Natalie Randolph, DBH, LCSW
• Raquel Mickelson LPC LLC
• Aaron Alan Rasband, LPC
• Theresa Yvonne Gray Rashdan, MSN, CPNP-PC/AC, FNP

• Professional Counselor in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Professional Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2007; 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.