Edie Randall

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PCO12565 Issued in PA

Practice address

900 Heritage Dr Ste 910
Pottstown, PA 19464-9223

Phone

(484) 458-5138

NPI assigned

Sep 23, 2020

Last updated

Sep 23, 2020By 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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Concern Professional Services for Children, Youth & Families

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wyomissing, PA
  • NPI 1285887802
  NPD
• Concern-Professional Services for Children, Youth & Families

  • Adolescent and Children Mental Health Clinic/Center
  • Allentown, PA
  • NPI 1053178764
  NPD
• Concern-Professional Services for Children, Youth & Families

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Towanda, PA
  • NPI 1376845479
  NPD

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

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1366059479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 S 13TH ST",
            "city": "READING",
            "state": "PA",
            "postal_code": "196022049",
            "telephone_number": "610-507-6419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 HERITAGE DR STE 910",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194649223",
            "telephone_number": "484-458-5138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDALL",
        "first_name": "EDIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-23",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PCO12565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Havens Rakoff, M.S.S., LSW
• Manjula Kandaa Raman, MD
• Frankie Ramirez
• Margaret Amy Ramsey, LSW
• Adrienne Randall, LPN
• Randolph E. Yucha D.C., P.C.
• Jazzlynn Randolph
• Shannon Rankin, LSW
• Samantha Rauscher
• Louis Edward Raven, DDS

• Professional Counselor in Pottstown, PA
• Providers in Pottstown, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.