Individual provider Active NPI

Gale Lorraine Randolph, LPC

  • Professional Counselor
  • Farmville, VA
National Provider Identifier
1467097287
Registry record updated Nov 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701008626 Issued in VA
Practice address
404 E 3Rd St Ste 200
Farmville, VA 23901-1512
Phone
(434) 808-9291
NPI assigned
Nov 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701008626 VA Primary

Addresses

Primary practice location

404 E 3Rd St Ste 200
Farmville, VA 23901-1512

Mailing address

PO Box 796
Farmville, VA 23901-0796
Phone (434) 808-9291

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address g.randolph@fpscorp.com Direct
Direct Messaging Address g.randolph@fpscorp.com Direct
Direct Messaging Address g.randolph@fpscorp.com Direct

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

LicenseStateTypeSpecialty
0701008626VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Preservation Services LLC CurrentSince Feb 17, 2020 Accepting new patients

Locations

404 E 3rd St
Ste 200
Farmville, VA 23901
Phone (434) 808-9291

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1573776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573776000000",
    "number": "1467097287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 796",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "239010796",
            "telephone_number": "434-808-9291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 E 3RD ST STE 200",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "239011512",
            "telephone_number": "434-808-9291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDOLPH",
        "first_name": "GALE",
        "middle_name": "LORRAINE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-15",
        "last_updated": "2019-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701008626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "g.randolph@fpscorp.com",
            "affiliation": "N",
            "endpointDescription": "Secure Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "404 E 3rd St Ste 200",
            "city": "Farmville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "239011512",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "g.randolph@fpscorp.com",
            "affiliation": "N",
            "endpointDescription": "Secure Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "404 E 3rd St Ste 200",
            "city": "Farmville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "239011512",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "g.randolph@fpscorp.com",
            "affiliation": "N",
            "endpointDescription": "Secure Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "404 E 3rd St Ste 200",
            "city": "Farmville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "239011512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Farmville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2019; 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.