Active NPI
Randall R. Richmond, LPC
- Professional Counselor
- Lebanon, OR
National Provider Identifier
1740502368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C1283
- Practice address
- 1600 S Main St
Lebanon, OR 97355 - Phone
- (541) 967-3866
- NPI assigned
- Feb 23, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C1283 | OR | Primary |
Addresses
Primary practice location
1600 S Main St
Lebanon, OR 97355
Mailing address
PO Box 100
Albany, OR 97321-0031
Phone (541) 967-3866
Other practice location 1
1340 NW Wall St
Bend, OR 97701-1985
Phone (541) 602-1663
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C1283 | OR | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573689600000",
"number": "1740502368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 100",
"city": "ALBANY",
"state": "OR",
"postal_code": "973210031",
"telephone_number": "541-967-3866",
"fax_number": "541-812-8814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 S MAIN ST",
"city": "LEBANON",
"state": "OR",
"postal_code": "97355",
"telephone_number": "541-967-3866"
}
],
"practiceLocations": [
{
"address_1": "1340 NW Wall St",
"address_purpose": "LOCATION",
"city": "Bend",
"state": "OR",
"postal_code": "977011985",
"country_code": "US",
"telephone_number": "541-602-1663",
"fax_number": "541-388-6617",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RICHMOND",
"first_name": "RANDALL",
"middle_name": "R.",
"name_prefix": "Mr.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-02-23",
"last_updated": "2019-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "C1283",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.