Randall Wayne Gulliford, CPS, CSS, MAADC1

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

22011 Issued in MO

Practice address

815 S Ash St
Nevada, MO 64772-3222

Phone

(417) 667-8352

Fax

(417) 667-9216

NPI assigned

Aug 31, 2026

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1788134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1679481691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 S ASH ST",
            "city": "NEVADA",
            "state": "MO",
            "postal_code": "647723222",
            "telephone_number": "417-667-8352",
            "fax_number": "417-667-9216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 S ASH ST",
            "city": "NEVADA",
            "state": "MO",
            "postal_code": "647723222",
            "telephone_number": "417-667-8352",
            "fax_number": "417-667-9216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULLIFORD",
        "first_name": "RANDALL",
        "middle_name": "WAYNE",
        "credential": "CPS, CSS, MAADC1",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-08-31",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MO",
            "license": "22011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Great Plains Hospital Inc
• Renee Sydney Pendleton Gregory, APRN, PMHNP-BC
• Debra Ann Griggs, M.S.
• Frederick Guenther, D.C.
• Harley V Gullett, ACSW, LCSW
• John F Hagy, PH.D.
• Kathy J Hallam, RN
• Emily Elizabeth Hammock, LPC
• David Hancock, LPC
• Grant Hartman, DC

• Addiction (Substance Use Disorder) Counselor in Nevada, MO
• Providers in Nevada, MO by specialty
• Addiction (Substance Use Disorder) Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.