Randa Ibrahim Elsayed, MASTER'S DEGREE

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

ELSA-IZIA7A Issued in NC

Practice address

130 Jones Rd
Rocky Mount, NC 27804-2349

Phone

(919) 247-2312

NPI assigned

Nov 20, 2023

Sex

Female

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1700438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1770358822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 MCDUFFERS RD",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278049651",
            "telephone_number": "252-366-0638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 JONES RD",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278042349",
            "telephone_number": "919-247-2312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELSAYED",
        "first_name": "RANDA",
        "middle_name": "IBRAHIM",
        "credential": "MASTER'S DEGREE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-20",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "ELSA-IZIA7A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eidson Speech and Language Services
• Stacy Corey Eidson, M.S., CCC/SLP
• Elizabeth E Miller DDS Ms PA (Rocky Mount Pediatric Dentistry)
• Jonta Elliott
• Willard Jackson Ellis Jr., DDS
• Hesham F Elwan
• Embracing Change Center, Inc.
• Embracing Touch Home Care Agency
• Courage Osifo Emokpae, MD
• Englewood OB-GYN Associates PA

• Mental Health Counselor in Rocky Mount, NC
• Providers in Rocky Mount, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; 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.