Active NPI
Randall Overdorff, LPC
- Professional Counselor
- Gainesville, GA
National Provider Identifier
1386196871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC001347
- Legal business name
- RANDALL OVERDORFF, LPC
- Practice address
- 629 Dawsonville Hwy
Ste 2201
Gainesville, GA 30501-2610 - Phone
- (678) 936-4954
- Fax
- (770) 534-9104
- NPI assigned
- Oct 31, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Randy Overdorff, LPC
- Title
- Owner
- Phone
- (770) 339-7667
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC001347 | GA | Primary |
Addresses
Primary practice location
629 Dawsonville Hwy
Ste 2201
Gainesville, GA 30501-2610
Mailing address
2038 Pine Tree Cir
Gainesville, GA 30501-1334
Phone (678) 936-4954
National Provider Directory
National Provider DirectoryLocations
629 Dawsonville Hwy
Ste 2201
Gainesville, GA 30501
Phone (678) 701-8477
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477872000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1478822400000",
"number": "1386196871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2038 PINE TREE CIR",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305011334",
"telephone_number": "678-936-4954",
"fax_number": "770-534-9104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "629 DAWSONVILLE HWY",
"address_2": "STE 2201",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305012610",
"telephone_number": "678-936-4954",
"fax_number": "770-534-9104"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RANDALL OVERDORFF, LPC",
"organizational_subpart": "NO",
"enumeration_date": "2016-10-31",
"last_updated": "2016-11-11",
"status": "A",
"authorized_official_last_name": "OVERDORFF",
"authorized_official_first_name": "RANDY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "770-339-7667",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC001347",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.