Randy Eugene Hiatt, ED.D.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1033 Issued in SC

Practice address

2145B Hoffmeyer Rd
Florence, SC 29501-4015

Phone

(843) 669-3323

NPI assigned

Aug 12, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Marriage-Family & Child Counseling

  • Counselor
  • Florence, SC
  • NPI 1871605162
  NPD (past) Authorized official

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

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1689285694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2933 BOXWOOD AVE",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295015907",
            "telephone_number": "843-206-2921",
            "fax_number": "843-661-6705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2145B HOFFMEYER RD",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014015",
            "telephone_number": "843-669-3323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIATT",
        "first_name": "RANDY",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "ED.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-12",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "1033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "1033",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William H. Hester, MD
• Kayla Brynn Hewett, APRN
• Christopher David Hewitt, P.A.
• James Heyward, PT
• HH LLC
• Ryan Michael Hickey, CRNA
• Glenda Faye Harris Hickman, ARNP
• Jonathan Marc Hicks
• Steven Blake Hicks, PHARMD
• Doretha Hickson

• Mental Health Counselor in Florence, SC
• Providers in Florence, SC by specialty
• Mental Health Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; 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.