Randi Burns, LMHC
Individual provider Active NPI Mental Health Counselor · Manchester, IA
NPI 1477858843 · NPPES record last updated Jan 17, 2011
Key facts
- NPI
- 1477858843
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 001309 (IA)
- Practice address
- 721 S 5TH St
Manchester, IA 52057-2048 - Phone
- (563) 927-6700
- Fax
- (563) 927-6703
- NPI assigned
- Jan 17, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 001309 | IA | Yes |
Addresses
Primary practice location
721 S 5TH St
Manchester, IA 52057-2048
Mailing address
520 11TH St NW
Cedar Rapids, IA 52405-3811
Phone (319) 398-3562
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0074575 | Medicaid | IA |
Other providers in Manchester, IA
- Danielle Sue Boone
- Brehme Drug Inc
- Brehme Drug Inc
- Ashley Anne Brehme
- Janice M Budzine
- Jill L Buschmann
- Luke Thomas Butikofer
- Isaac Albert Butler
- Abigail Carper
- Cedar Valley Medical Specialists PC
All providers in Manchester, IA · Mental Health Counselor in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 17, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.