Organization Active NPI

Randall Counseling and Therapy Services, LLC

  • Community/Behavioral Health Agency
  • North Myrtle Beach, SC
National Provider Identifier
1245625193
Registry record updated Jan 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
RANDALL COUNSELING AND THERAPY SERVICES, LLC
Practice address
1019 Highway 17 S
Suite 109
North Myrtle Beach, SC 29582-3702
Phone
(803) 701-9693
NPI assigned
Mar 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2016

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

Authorized official

Name
Venita Catrice RandallNPI 1972784916
Title
Mental Health Clinical Counselor
Phone
(704) 561-1913

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1019 Highway 17 S
Suite 109
North Myrtle Beach, SC 29582-3702

Mailing address

PO Box 924
North Myrtle Beach, SC 29597-0924
Phone (803) 701-9693

National Provider Directory

National Provider Directory

Locations

1019 Highway 17 S
Ste 109
North Myrtle Beach, SC 29582
Phone (803) 701-9693

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452038400000",
    "number": "1245625193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 924",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295970924",
            "telephone_number": "803-701-9693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 HIGHWAY 17 S",
            "address_2": "SUITE 109",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295823702",
            "telephone_number": "803-701-9693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDALL COUNSELING AND THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-30",
        "last_updated": "2016-01-06",
        "status": "A",
        "authorized_official_last_name": "RANDALL",
        "authorized_official_first_name": "VENITA",
        "authorized_official_middle_name": "CATRICE",
        "authorized_official_title_or_position": "MENTAL HEALTH CLINICAL COUNSELOR",
        "authorized_official_telephone_number": "704-561-1913"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Myrtle Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2016; 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.