Randy Rainwater, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

P9002006 Issued in AR

Practice address

2002 S Fillmore St
Little Rock, AR 72204-4909

Phone

(501) 661-0720

Fax

(501) 687-0839

NPI assigned

Apr 19, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• United Methodist Children'S Home

  • Substance Abuse Rehabilitation Facility
  • Little Rock, AR
  • NPI 1326286386
  NPD (past)
• United Methodist Children'S Home, Inc.

  • Psychiatric Residential Treatment Facility
  • Little Rock, AR
  • NPI 1326116518
  NPD (past)

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790902831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 BRIARWOOD CIR",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720342921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 S FILLMORE ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722044909",
            "telephone_number": "501-661-0720",
            "fax_number": "501-687-0839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAINWATER",
        "first_name": "RANDY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "P9002006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "5W477",
            "identifier": "BCBS",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shuo Wang Rainosek, M.D.
• Lara Rains, PHARMD
• David Mitchell Rainwater, D.D.S
• Dylan Eden Rainwater, CRNA
• Lauren Abigail Rainwater, PA-C
• Grace Lee Raja, M.D.
• Vijay N. Raja, MD
• Taufiek Konrad Rajab, M.B. B.CHIR
• Rakesh Shetty Rajalbandi
• Anna Beth Raley, PT, DPT

• Mental Health Counselor in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Mental Health Counselor in Arkansas

• 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.