Individual provider Active NPI

Randi Charbonnet, LCPC

  • Professional Counselor
  • Las Vegas, NV
National Provider Identifier
1508227919
Registry record updated Sep 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CP3166 Issued in NV
Practice address
8215 S Eastern Ave Ste 215
Las Vegas, NV 89123-2524
Phone
(702) 612-8185
Fax
(702) 558-8704
NPI assigned
Mar 11, 2016
Last updated
Sep 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 01766-L NV
Professional Counselor 101YP2500X CP3166 NV Primary

Addresses

Primary practice location

8215 S Eastern Ave Ste 215
Las Vegas, NV 89123-2524

Mailing address

8215 S Eastern Ave Ste 215
Las Vegas, NV 89123-2524
Phone (725) 243-6644

Other identifiers 1

IdentifierTypeStateIssuer
100558666MedicaidNV

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
01766-LNVMDAddiction (Substance Use Disorder) Counselor
CP3166NVMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1457654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790208000000",
    "number": "1508227919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8215 S EASTERN AVE STE 215",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891232524",
            "telephone_number": "725-243-6644",
            "fax_number": "702-558-8704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8215 S EASTERN AVE STE 215",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891232524",
            "telephone_number": "702-612-8185",
            "fax_number": "702-558-8704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARBONNET",
        "first_name": "RANDI",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-11",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NV",
            "license": "01766-L",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NV",
            "license": "CP3166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100558666",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; 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.