Individual provider Active NPI

Randy Garcia Zavala, LCMHC

  • Mental Health Counselor
  • Greensboro, NC
National Provider Identifier
1790458529
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
16763 Issued in NC
Practice address
612 N Greene St
Greensboro, NC 27401-2024
Phone
(336) 604-5100
NPI assigned
Jul 28, 2021
Last updated
Apr 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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 16763 NC Primary

Addresses

Primary practice location

612 N Greene St
Greensboro, NC 27401-2024

Mailing address

8101 Green Lantern St Apt 204
Raleigh, NC 27613-4560
Phone (984) 259-8868

Other names 1

  • Randy Garcia Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260213001597 NC Practitioner - Mental Health Counselor 0244710895 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lavni IncGroup PAC ID 9830691484, 15 clinicians

Practice addresses (Care Compare)

804 S Garnett St
Henderson, NC 27536-4571
Phone (980) 890-7995

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16763NCMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lavni, Inc CurrentSince Jan 4, 2026 Accepting new patients

Locations

804 S Garnett St
Henderson, NC 27536
Phone (980) 267-3826

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1627430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1790458529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8101 GREEN LANTERN ST APT 204",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276134560",
            "telephone_number": "984-259-8868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 N GREENE ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274012024",
            "telephone_number": "336-604-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA ZAVALA",
        "first_name": "RANDY",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-28",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "16763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RANDY",
            "last_name": "GARCIA",
            "credential": "LCMHC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.