Active NPI
Pavielle Randolph
- Mental Health Counselor
- Chicago, IL
National Provider Identifier
1437069408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 150.117999
- Practice address
- 4138 W Adams St
Chicago, IL 60624-2701 - Phone
- (773) 617-9474
- NPI assigned
- Sep 10, 2026
- 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 | 150.117999 | IL | Primary |
Addresses
Primary practice location
4138 W Adams St
Chicago, IL 60624-2701
Mailing address
4138 W Adams St
Chicago, IL 60624-2701
Other names 1
- Pavielle Quadri
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788998400000",
"number": "1437069408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4138 W ADAMS ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606242701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4138 W ADAMS ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606242701",
"telephone_number": "773-617-9474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANDOLPH",
"first_name": "PAVIELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-09-10",
"last_updated": "2026-09-10",
"certification_date": "2026-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "150.117999",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PAVIELLE",
"last_name": "QUADRI",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.