Rachel Randazzo, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CW023221 Issued in PA

Practice address

5502 Lister CT
Chester Springs, PA 19425-8765

Phone

(484) 574-0734

NPI assigned

Dec 12, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sri Psychological Services PCGroup PAC ID 1456331214, 34 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Sri Psychological Services, PC

  • Psychologist
  • Jenkintown, PA
  • NPI 1730259904
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1619688520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5502 LISTER CT",
            "city": "CHESTER SPRINGS",
            "state": "PA",
            "postal_code": "194258765",
            "telephone_number": "484-574-0734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5502 LISTER CT",
            "city": "CHESTER SPRINGS",
            "state": "PA",
            "postal_code": "194258765",
            "telephone_number": "484-574-0734"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2824 Cottman Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191491400",
            "country_code": "US",
            "telephone_number": "215-885-3337",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "261 Old York Rd Ste 318",
            "address_purpose": "LOCATION",
            "city": "Jenkintown",
            "state": "PA",
            "postal_code": "190463709",
            "country_code": "US",
            "telephone_number": "215-885-3337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RANDAZZO",
        "first_name": "RACHEL",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-12",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "CW023221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Provider of Co-Op Services
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• Rezvan Rafi, M.D.
• Julia Heather Ramanathan, MA, CCC-SLP
• Renaissance Behavioral Health, LLC
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• Rising Moon Birth Services, LLC
• Tara Rodgers, PT
• Darren A Rodia, DPT

• Mental Health Counselor in Chester Springs, PA
• Providers in Chester Springs, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.