Randy Randall Ditmore, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

15016 Issued in TX

Practice address

5302 Water Terrace LN
Fulshear, TX 77441-2243

Phone

(281) 989-3908

NPI assigned

Sep 22, 2021

Sex

Male

Sole proprietor

Yes

• James Randall Ditmore Other name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 22, 2021.

{
    "created_epoch": "1632268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1639840499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5302 WATER TERRACE LN",
            "city": "FULSHEAR",
            "state": "TX",
            "postal_code": "774412243",
            "telephone_number": "281-989-3908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5302 WATER TERRACE LN",
            "city": "FULSHEAR",
            "state": "TX",
            "postal_code": "774412243",
            "telephone_number": "281-989-3908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DITMORE",
        "first_name": "RANDY",
        "middle_name": "RANDALL",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-22",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "15016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMES",
            "last_name": "DITMORE",
            "middle_name": "RANDALL",
            "credential": "LPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• All providers in Fulshear, TX
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; 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.