Danny L Randolph, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MT1361 Issued in FL

Practice address

8478 Red Holly LN
Jacksonville, FL 32221-1545

Phone

(904) 783-1956

NPI assigned

Aug 15, 2005

Sex

Male

Sole proprietor

Yes

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": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790787281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8478 RED HOLLY LN",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322211545",
            "telephone_number": "904-783-1956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8478 RED HOLLY LN",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322211545",
            "telephone_number": "904-783-1956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDOLPH",
        "first_name": "DANNY",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT1361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Lynroy Randall
• Theresa Randazzo-Burton, M.D.
• Heather Hurst Randles, PHARMD.
• Leslie Angelette Randolph-Moss, MPAS, PA-C
• Brad Randolph, DO
• Jasmine Randolph
• Kenya Nicole Randolph
• Peyton B Randolph, PA-C
• Jeanna Rangbaran, ARNP
• Alexis Rangel, PA-C

• Marriage & Family Therapist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Marriage & Family Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.