Randall Leavitt Prior, D.MIN

Primary specialty

Pastoral CounselorTaxonomy code 101YP1600X

Practice address

10723 Main St
Fairfax Presbyterian Church
Fairfax, VA 22030-6905

Phone

(703) 270-5300

NPI assigned

Feb 9, 2012

Last updated

Feb 9, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Center for Pastoral Counseling of Virginia

  • Pastoral Counselor
  • McLean, VA
  • NPI 1104328335
  NPD (past)

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

{
    "created_epoch": "1328745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328745600000",
    "number": "1205109055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX QQ",
            "address_2": "CENTER FOR PASTORAL COUNSELING OF VIRGINIA",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221010700",
            "telephone_number": "703-903-9696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10723 MAIN ST",
            "address_2": "FAIRFAX PRESBYTERIAN CHURCH",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306905",
            "telephone_number": "703-270-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIOR",
        "first_name": "RANDALL",
        "middle_name": "LEAVITT",
        "name_prefix": "Dr.",
        "credential": "D.MIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-09",
        "last_updated": "2012-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prima Medicine
• Andrew Lane Primmer, CSA
• Primus Physical Therapy Fairfax
• Princeton Longevity Medical Group of Virginia LLC
• Ryan Jamal Prioleau
• Andrew Anthony Prishack, PT
• Dannah Pritchard
• Privia Medical Group, LLC
• Privia Medical Group, LLC
• Privia Medical Group, LLC

• Pastoral Counselor in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Pastoral Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2012; 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.