Active NPI
Kandis Z'Lunte Randle
- Counselor
- Corinth, MS
National Provider Identifier
1275987166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 303 N Madison St
Corinth, MS 38834-5072 - Phone
- (662) 286-9883
- Fax
- (662) 284-9836
- NPI assigned
- Apr 18, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
303 N Madison St
Corinth, MS 38834-5072
Mailing address
25 Stonewood CV
Ecru, MS 38841-9245
Phone (228) 234-9190
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Region IV Mental Health Services | Past | Accepting new patients | |
| Region IV Mental Health Services | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Corinth, MS
- NPI 1154601219
-
- Community/Behavioral Health Agency
- Corinth, MS
- NPI 1942579826
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460937600000",
"number": "1275987166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 STONEWOOD CV",
"city": "ECRU",
"state": "MS",
"postal_code": "388419245",
"telephone_number": "228-234-9190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 N MADISON ST",
"city": "CORINTH",
"state": "MS",
"postal_code": "388345072",
"telephone_number": "662-286-9883",
"fax_number": "662-284-9836"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANDLE",
"first_name": "KANDIS",
"middle_name": "Z'LUNTE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-04-18",
"last_updated": "2016-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corinth, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.