Individual provider Active NPI

Randell Paige Prather, MS, LPC

  • Professional Counselor
  • Metairie, LA
National Provider Identifier
1912400862
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7364 Issued in LA
Practice address
516 Veterans Memorial Blvd Ste D
Metairie, LA 70005-2941
Phone
(337) 321-5592
NPI assigned
Mar 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 7364 LA Primary

Addresses

Primary practice location

516 Veterans Memorial Blvd Ste D
Metairie, LA 70005-2941

Mailing address

10040 I 10 Service Rd Ste C
New Orleans, LA 70127-2701

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
7364LAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
L&D Family Support Service CurrentSince Mar 1, 2023 Accepting new patients
L&D Family Support Service CurrentSince Mar 1, 2023 Accepting new patients

Locations

10040 I 10 Service Rd
Ste C
New Orleans, LA 70127
Phone (504) 821-5220

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": "1521158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1912400862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10040 I 10 SERVICE RD STE C",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701272701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 VETERANS MEMORIAL BLVD STE D",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700052941",
            "telephone_number": "337-321-5592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATHER",
        "first_name": "RANDELL",
        "middle_name": "PAIGE",
        "credential": "MS, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-16",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "7364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.