Individual provider Active NPI

Randa Harrah

  • Mental Health Counselor
  • Mount Vernon, OH
National Provider Identifier
1871902288
Registry record updated Aug 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
S1450673 Issued in OH
Practice address
17606 Coshocton Rd
Mount Vernon, OH 43050-9218
Phone
(740) 397-0533
NPI assigned
Aug 11, 2014
Last updated
Aug 11, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 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 S1450673 OH Primary

Addresses

Primary practice location

17606 Coshocton Rd
Mount Vernon, OH 43050-9218

Mailing address

17606 Coshocton Rd
Mount Vernon, OH 43050-9218
Phone (740) 397-0533

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20181025000849 OH Practitioner - Clinical Social Worker 8729331566 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S1450673OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Village Network CurrentSince Sep 23, 2018 Accepting new patients

Locations

17606 Coshocton Rd
Mount Vernon, OH 43050
Phone (740) 397-0533

2000 Noble Dr
Wooster, OH 44691
Phone (330) 439-8492

3011 Akron Rd
Wooster, OH 44691
Phone (330) 201-0027

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, 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": "1407715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407715200000",
    "number": "1871902288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17606 COSHOCTON RD",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430509218",
            "telephone_number": "740-397-0533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17606 COSHOCTON RD",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430509218",
            "telephone_number": "740-397-0533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRAH",
        "first_name": "RANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-11",
        "last_updated": "2014-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "S1450673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, OH

Sources for this page

Verify at the official NPI Registry.