Individual provider Active NPI

Randi Marie Stevens, M.ED, LPC, CRC

  • Professional Counselor
  • Coeur D Alene, ID
National Provider Identifier
1235463597
Registry record updated Jul 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-4085 Issued in ID
Practice address
1621 N 3Rd St Ste 1100
Coeur D Alene, ID 83814-3381
Phone
(208) 625-1343
NPI assigned
Sep 18, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC-4085 ID Primary
Rehabilitation Counselor 225C00000X 00108377 ID

Addresses

Primary practice location

1621 N 3Rd St Ste 1100
Coeur D Alene, ID 83814-3381

Mailing address

1819 W Grange Ave
Post Falls, ID 83854-8554
Phone (208) 625-1343

Other names 1

  • Miss Randi Marie Chandler Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
LPC-4085IDMDProfessional Counselor
00108377IDMDRehabilitation Counselor

NPI Registry JSON

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

{
    "created_epoch": "1253232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375056000000",
    "number": "1235463597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 W GRANGE AVE",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838548554",
            "telephone_number": "208-625-1343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 N 3RD ST STE 1100",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838143381",
            "telephone_number": "208-625-1343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "RANDI",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "M.ED, LPC, CRC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-18",
        "last_updated": "2013-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LPC-4085",
            "primary": true
        },
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": "ID",
            "license": "00108377",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RANDI",
            "last_name": "CHANDLER",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Coeur D Alene, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2013; 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.