Ezra Randle Jr., LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701011752 Issued in VA

Practice address

11419 Catharpin Rd
Spotsylvania, VA 22553-3604

Phone

(571) 277-5830

NPI assigned

Sep 6, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Randle Counseling, LLC

  • Mental Health Counselor
  • Fredericksburg, VA
  • NPI 1154270049
  NPD Authorized official
• Envision Counseling, LLC

  • Mental Health Counselor
  • Annandale, VA
  • NPI 1659978914
  NPD (past)

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

{
    "created_epoch": "1662422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1477274686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11419 CATHARPIN RD",
            "city": "SPOTSYLVANIA",
            "state": "VA",
            "postal_code": "225533604",
            "telephone_number": "571-277-5830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11419 CATHARPIN RD",
            "city": "SPOTSYLVANIA",
            "state": "VA",
            "postal_code": "225533604",
            "telephone_number": "571-277-5830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDLE",
        "first_name": "EZRA",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-06",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701011752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ezra.randle@leap4lfe.com",
            "affiliation": "N",
            "address_1": "11419 Catharpin Rd",
            "city": "Spotsylvania",
            "state": "VA",
            "country_code": "US",
            "postal_code": "225533604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Paul Victor Purcell Jr.
• Cheryl Ann Pyktel, LCMT
• Kara Quick, PHARMD
• Racsb
• Rhonda Marie Ramirez, BS, IBCLC
• Luriane Dorcely Raymond, DNP, FNP-BC
• Kimbery Lewis Reed, RBT
• Rest at Home Health Services
• Suzanne Richman, M.D.
• Lauren Rogers

• Professional Counselor in Spotsylvania, VA
• Providers in Spotsylvania, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; 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.