Individual provider Active NPI

Randy Ervin Thomason Jr., LCDC, LPC

  • Mental Health Counselor
  • Texarkana, TX
National Provider Identifier
1548605645
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
P2004002 Issued in AR
Practice address
3930 Galleria Oaks Dr
Texarkana, TX 75503-4670
Phone
(903) 336-3484
Fax
(903) 336-3484
NPI assigned
May 2, 2013
Last updated
Sep 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 83076 TX
Mental Health Counselor 101YM0800X P2004002 AR Primary

Addresses

Primary practice location

3930 Galleria Oaks Dr
Texarkana, TX 75503-4670

Mailing address

300 N State Line Ave
Texarkana, AR 71854-5926
Phone (903) 824-3743

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
9571TXMDAddiction (Substance Use Disorder) Counselor
83076TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Olive Tree Counseling LLP Addiction (Substance Use Disorder) CurrentSince Apr 11, 2021 Accepting new patients
Jeanne a. Field Miller D/B/a Summerhill Counseling Center Past Accepting new patients
Jeanne a. Field Miller Doing Business As Summerhill Counseling Center Addiction (Substance Use Disorder) Past Accepting new patients

Locations

3930 Galleria Oaks Dr
Texarkana, TX 75503
Phone (903) 306-3484

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1367452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1548605645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N STATE LINE AVE",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718545926",
            "telephone_number": "903-824-3743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3930 GALLERIA OAKS DR",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755034670",
            "telephone_number": "903-336-3484",
            "fax_number": "903-336-3484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMASON",
        "first_name": "RANDY",
        "middle_name": "ERVIN",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LCDC, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-02",
        "last_updated": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "83076",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "P2004002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Texarkana, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.