Individual provider Active NPI

Randall Moate, PH.D., LPCC

  • Professional Counselor
  • Richfield, OH
National Provider Identifier
1639439581
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.2303855 Issued in OH
Practice address
3928 Brecksville Rd
Richfield, OH 44286-9627
Phone
(216) 440-1973
NPI assigned
May 25, 2012
Last updated
Nov 17, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X E.2303855 OH Primary
Counselor 101Y00000X C.1200121 OH

Addresses

Primary practice location

3928 Brecksville Rd
Richfield, OH 44286-9627

Mailing address

3928 Brecksville Rd
Richfield, OH 44286-9627
Phone (216) 440-1973

Other practice location 1

218 N College Ave
Tyler, TX 75702-5715
Phone (903) 593-9141

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
C.1200121OHMDCounselor
E.2303855OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Avenues of Counseling and Mediation PastSince Jan 26, 2011 Accepting new patients
Shumay Counseling Services, LLC Professional PastSince Nov 19, 2023 Accepting new patients
Mosaic Counseling Centers of East Texas Professional PastSince Apr 1, 2021 Accepting new patients
Lisa Borchert Dba Avenues of Counseling Past Accepting new patients

Organizations & group practices 4

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": "1337904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1639439581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3928 BRECKSVILLE RD",
            "city": "RICHFIELD",
            "state": "OH",
            "postal_code": "442869627",
            "telephone_number": "216-440-1973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3928 BRECKSVILLE RD",
            "city": "RICHFIELD",
            "state": "OH",
            "postal_code": "442869627",
            "telephone_number": "216-440-1973"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "218 N College Ave",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757025715",
            "country_code": "US",
            "telephone_number": "903-593-9141",
            "fax_number": "903-593-9865",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOATE",
        "first_name": "RANDALL",
        "credential": "PH.D., LPCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-25",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.2303855",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "C.1200121",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; 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.