Yvonne Marie Randel, LPC, LSOTP, LCDC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

67331 Issued in TX

Practice address

519 County Road 4011
Dayton, TX 77535-7386

Phone

(281) 806-1836

NPI assigned

Apr 29, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1588118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588118400000",
    "number": "1528689676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 COUNTY ROAD 4011",
            "city": "DAYTON",
            "state": "TX",
            "postal_code": "775357386",
            "telephone_number": "281-806-1836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 COUNTY ROAD 4011",
            "city": "DAYTON",
            "state": "TX",
            "postal_code": "775357386",
            "telephone_number": "281-806-1836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDEL",
        "first_name": "YVONNE",
        "middle_name": "MARIE",
        "credential": "LPC, LSOTP, LCDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-29",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "10512",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "67331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "email",
            "affiliation": "N",
            "address_1": "519 County Road 4011",
            "city": "Dayton",
            "state": "TX",
            "country_code": "US",
            "postal_code": "775357386",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Professional Counselor in Dayton, TX
• Providers in Dayton, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2020; 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.