Individual provider Active NPI

Randall S. Weeks, LPC, BC-TMH

  • Professional Counselor
  • Oxford, MS
National Provider Identifier
1750479523
Registry record updated Oct 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0635 Issued in MS
Practice address
2690 West Oxford Loop, Suite 146
Oxford, MS 38655
Phone
(662) 458-9740
NPI assigned
Oct 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0635 MS Primary

Addresses

Primary practice location

2690 West Oxford Loop, Suite 146
Oxford, MS 38655

Mailing address

10 Private Road 3151
Apartment 6
Oxford, MS 38655
Phone (662) 458-9740

Other practice location 1

303 W Park Ave
Suite C
Greenwood, MS 38930-2901
Phone (662) 455-5465

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

LicenseStateTypeSpecialty
0635MSMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604016000000",
    "number": "1750479523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 PRIVATE ROAD 3151",
            "address_2": "APARTMENT 6",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "38655",
            "telephone_number": "662-458-9740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2690 WEST OXFORD LOOP, SUITE 146",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "38655",
            "telephone_number": "662-458-9740"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 W Park Ave",
            "address_2": "Suite C",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "MS",
            "postal_code": "389302901",
            "country_code": "US",
            "telephone_number": "662-455-5465",
            "fax_number": "662-455-5465",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEEKS",
        "first_name": "RANDALL",
        "middle_name": "S.",
        "name_prefix": "Mr.",
        "credential": "LPC, BC-TMH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "0635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.