Joseph Brannon Randolph, MS, MBA, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PO309038 Issued in AR

Practice address

6801 Isaacs Orchard Rd
Ste. 215
Springdale, AR 72762-6545

Phone

(479) 725-3813

Fax

(479) 419-4046

NPI assigned

Jun 13, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Master of Business Administration, Master of Science

State licenses

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385337600000",
    "number": "1275737116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 ISAACS ORCHARD RD",
            "address_2": "STE. 215",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727626545",
            "telephone_number": "479-725-3813",
            "fax_number": "479-419-4046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 ISAACS ORCHARD RD",
            "address_2": "STE. 215",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727626545",
            "telephone_number": "479-725-3813",
            "fax_number": "479-419-4046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDOLPH",
        "first_name": "JOSEPH",
        "middle_name": "BRANNON",
        "name_prefix": "Mr.",
        "credential": "MS, MBA, LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-13",
        "last_updated": "2013-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "PO309038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "181106719",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Traci Renee Ramthun, MHPP
• Danae Ranck
• Randal S Kimbrough DDS PA
• Randal S. Kimbrough
• Teqienna Dianne Randall, NP
• Randolph'S Professional Treatment Services, PLLC
• Aubree Rankin
• Joshua David Rankin, MD
• Lindsay Christine Rankin
• Jessica Nichole Ratkovic, CRNA

• Professional Counselor in Springdale, AR
• Providers in Springdale, AR by specialty
• Professional Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.