Individual provider Active NPI

Randi Susan Linick, MS, LPC

  • Mental Health Counselor
  • Hackensack, NJ
National Provider Identifier
1750706610
Registry record updated Apr 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
37PC00476200 Issued in NJ
Practice address
1 University PLZ Ste 618
Hackensack, NJ 07601-6236
Phone
(201) 487-4298
NPI assigned
Feb 28, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 37PC00476200 NJ Primary

Addresses

Primary practice location

1 University PLZ Ste 618
Hackensack, NJ 07601-6236

Mailing address

1 University PLZ Ste 618
Hackensack, NJ 07601-6236
Phone (201) 788-2627

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
37PC00476200NJMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mercedes a. Paine, MD, PC Mental Health Past Accepting new patients
The Center for Integrative Psychiatry & Counseling Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1393545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396915200000",
    "number": "1750706610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 UNIVERSITY PLZ STE 618",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076016236",
            "telephone_number": "201-788-2627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 UNIVERSITY PLZ STE 618",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076016236",
            "telephone_number": "201-487-4298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINICK",
        "first_name": "RANDI",
        "middle_name": "SUSAN",
        "name_prefix": "Ms.",
        "credential": "MS, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-28",
        "last_updated": "2014-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC00476200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2014; 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.