Active NPI
Randall Sean Rollinson, LPC
- Professional Counselor
- Phoenix, AZ
National Provider Identifier
1275884330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC-15949
- Practice address
- 202 E Earll Dr
Ste. 160
Phoenix, AZ 85012-2634 - Phone
- (480) 471-8560
- Fax
- (888) 979-8197
- NPI assigned
- Sep 28, 2012
- Last updated
- Jun 23, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC-15949 | AZ | Primary |
Addresses
Primary practice location
202 E Earll Dr
Ste. 160
Phoenix, AZ 85012-2634
Mailing address
202 E Earll Dr
Suite 160
Phoenix, AZ 85012-2634
Phone (602) 819-2657
Other names 1
- Mr. R. Sean Rollinson
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-15949 | AZ | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466640000000",
"number": "1275884330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 E EARLL DR",
"address_2": "SUITE 160",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850122634",
"telephone_number": "602-819-2657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 E EARLL DR",
"address_2": "STE. 160",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850122634",
"telephone_number": "480-471-8560",
"fax_number": "888-979-8197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROLLINSON",
"first_name": "RANDALL",
"middle_name": "SEAN",
"name_prefix": "Mr.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-09-28",
"last_updated": "2016-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "LPC-15949",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "R.",
"last_name": "ROLLINSON",
"middle_name": "SEAN",
"prefix": "MR.",
"credential": "LPC",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.