Randi M Bradfield

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

80943 Issued in TX

Practice address

1881 Sylvan Ave Ste 200
Dallas, TX 75208-2031

Phone

(214) 333-7015

NPI assigned

Jun 28, 2019

Last updated

Jul 3, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dallas County Mental Health & Mental Retardation Center

  dba Metrocare Services

  • Psychiatry Physician
  • Dallas, TX
  • NPI 1023239886
  Medicare reassignment NPD
• Insight Solution & Services Limited Liability Company

  • Community/Behavioral Health Agency
  • Plano, TX
  • NPI 1457002370
  NPD (past)

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

{
    "created_epoch": "1561680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1205497302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6165 RIDGE CENTER DR APT 9302",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752361775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1881 SYLVAN AVE STE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752082031",
            "telephone_number": "214-333-7015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1545 W Mockingbird Ln Ste 4000",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752355014",
            "country_code": "US",
            "telephone_number": "214-821-6505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADFIELD",
        "first_name": "RANDI",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-28",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "80943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "62537",
            "identifier": "62537",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NA",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1545 W Mockingbird Ln Ste 4000",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752355014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brad Hubbard MD PA
• Helen Yvonne Bradbury, RN
• Makayla Ann Bradbury, DO
• Alysia Braddock
• Amanda Nichole Braddock, MD
• Bradford L Romans MD PA
• Ashley Bradford, FNP-C
• Ebony S Bradford
• Emeri Jean Bradford, PA-C
• Jennifer W. Bradford, PHD

• Mental Health Counselor in Dallas, TX
• Providers in Dallas, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.