Mattie 'Randi' Mae Owens, MSED, CADC-I, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0046 Issued in AK

Practice address

491 N Knik St
Wasilla, AK 99654-7049

Phone

(907) 376-9500

Fax

(907) 373-2175

NPI assigned

Dec 26, 2007

Last updated

Dec 26, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198627200000",
    "number": "1356525349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W SCHEELITE DR",
            "address_2": "P.O. BOX 871508",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996541304",
            "telephone_number": "907-373-2175",
            "fax_number": "907-373-2175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "491 N KNIK ST",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547049",
            "telephone_number": "907-376-9500",
            "fax_number": "907-373-2175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS",
        "first_name": "MATTIE 'RANDI'",
        "middle_name": "MAE",
        "credential": "MSED, CADC-I, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-26",
        "last_updated": "2007-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AK",
            "license": "0046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Paige Oswald, LMHC
• Otto Inc (Miracle Ear Center)
• Jonathan Robert Oudin, D.D.S.
• Sam Ouellette
• Michelle Dawn Overstreet
• Susan Owens
• Taliah Owens
• Kristen Pack, LMT
• Packa Home Care, LLC
• Marshal Ann Packa, RN

• Professional Counselor in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Professional Counselor in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.