Active NPI
Amy Roberta Randolph-Couture, MA, LMHC
- Mental Health Counselor
- Jamaica Plain, MA
National Provider Identifier
1285894527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6119
- Practice address
- 69 Wenham St
Jamaica Plain, MA 02130-4152 - Phone
- (617) 816-1615
- NPI assigned
- Jun 10, 2008
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6119 | MA | Primary |
Addresses
Primary practice location
69 Wenham St
Jamaica Plain, MA 02130-4152
Mailing address
69 Wenham St
Jamaica Plain, MA 02130-4152
Phone (617) 816-1615
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6119 | MA | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213056000000",
"number": "1285894527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "69 WENHAM ST",
"city": "JAMAICA PLAIN",
"state": "MA",
"postal_code": "021304152",
"telephone_number": "617-816-1615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "69 WENHAM ST",
"city": "JAMAICA PLAIN",
"state": "MA",
"postal_code": "021304152",
"telephone_number": "617-816-1615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANDOLPH-COUTURE",
"first_name": "AMY",
"middle_name": "ROBERTA",
"name_prefix": "Ms.",
"credential": "MA, LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-10",
"last_updated": "2008-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "6119",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jamaica Plain, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.