Randolph Scott Hollingsworth, LPC/:ISAC – Counselor

Key facts

NPI: 1285871855
Entity type: Individual (NPI type 1)
Primary specialty: Counselor 101Y00000X
License: LPC -12687 (AZ)
Practice address: 1305 Spurlock Ave
Holbrook, AZ 86025-1960
Phone: (520) 249-8428
NPI assigned: Jan 19, 2009
Sex: Male
Sole proprietor: Yes

Organizations & group practices 1

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.

Healing Connections Counseling Services, LLC Professional Counselor · Sierra Vista, AZ · NPI 1134388358

NPD (past) PROFESSIONAL

Medicare participation

Medicare fee-for-service enrollment: Enrolled in AZ
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20240603003668	AZ	Practitioner - Mental Health Counselor	5597192963	Practice locations: Holbrook, AZ

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
LPC -12687	AZ	MD	Counselor
LISAC-10504	AZ	MD	Addiction (Substance Use Disorder) Counselor

Practice roles

Organization	Specialty	Status	New patients
Healing Connections Counseling Services, LLC	Professional	Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Addiction (Substance Use Disorder) Counselor	101YA0400X	LISAC-10504	AZ
Counselor	101Y00000X	LPC -12687	AZ	Yes

Addresses

Primary practice location

1305 Spurlock Ave
Holbrook, AZ 86025-1960

Mailing address

1305 Spurlock Ave
Holbrook, AZ 86025-1960
Phone (520) 249-8428

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 27, 2026.

{
    "created_epoch": "1232323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1285871855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 SPURLOCK AVE",
            "city": "HOLBROOK",
            "state": "AZ",
            "postal_code": "860251960",
            "telephone_number": "520-249-8428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 SPURLOCK AVE",
            "city": "HOLBROOK",
            "state": "AZ",
            "postal_code": "860251960",
            "telephone_number": "520-249-8428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLINGSWORTH",
        "first_name": "RANDOLPH",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "LPC/:ISAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-19",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "LISAC-10504",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AZ",
            "license": "LPC -12687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holbrook, AZ

All providers in Holbrook, AZ · Counselor in Arizona

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 27, 2026. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.