Active NPI
Alyssa Marie Randall, NCC, LPC
- Professional Counselor
- Mount Carmel, PA
National Provider Identifier
1407593163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC011531
- Practice address
- 129 E 5TH St
Mount Carmel, PA 17851-2175 - Phone
- (570) 339-1828
- NPI assigned
- May 15, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC011531 | PA | Primary |
Addresses
Primary practice location
129 E 5TH St
Mount Carmel, PA 17851-2175
Mailing address
18 E Sunbury St Apt C
Minersville, PA 17954-1719
Phone (570) 335-0542
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC011531 | PA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725840000000",
"number": "1407593163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 E SUNBURY ST APT C",
"city": "MINERSVILLE",
"state": "PA",
"postal_code": "179541719",
"telephone_number": "570-335-0542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "129 E 5TH ST",
"city": "MOUNT CARMEL",
"state": "PA",
"postal_code": "178512175",
"telephone_number": "570-339-1828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANDALL",
"first_name": "ALYSSA",
"middle_name": "MARIE",
"credential": "NCC, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-15",
"last_updated": "2024-09-09",
"certification_date": "2024-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC011531",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Carmel, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.