Individual provider Active NPI

Randi Nicole Bechtel

  • Addiction (Substance Use Disorder) Counselor
  • Youngstown, OH
National Provider Identifier
1538632815
Registry record updated Jan 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
169190 Issued in OH
Practice address
1319 Florencedale Ave
Youngstown, OH 44505-2719
Phone
(330) 743-9030
NPI assigned
Jan 9, 2019
Last updated
Jan 9, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 169190 OH Primary

Addresses

Primary practice location

1319 Florencedale Ave
Youngstown, OH 44505-2719

Mailing address

1319 Florencedale Ave
Youngstown, OH 44505-2719
Phone (330) 743-9030

Other practice location 1

1319 Florencedale Ave
Youngstown, OH 44505-2719
Phone (330) 743-9030 ext. 127

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
169190OHMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1546992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546992000000",
    "number": "1538632815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 FLORENCEDALE AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445052719",
            "telephone_number": "330-743-9030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 FLORENCEDALE AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445052719",
            "telephone_number": "330-743-9030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1319 Florencedale Ave",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445052719",
            "country_code": "US",
            "telephone_number": "330-743-9030 x127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BECHTEL",
        "first_name": "RANDI",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-09",
        "last_updated": "2019-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "169190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.