Active NPI
Randall Rhodes
- Professional Counselor
- Tysons, VA
National Provider Identifier
1922415793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701009101
- Practice address
- 1640 Boro PL FL 4
Tysons, VA 22102-3627 - Phone
- (571) 274-6838
- NPI assigned
- Jul 14, 2014
- Last updated
- Jul 3, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701009101 | VA | Primary |
Addresses
Primary practice location
1640 Boro PL FL 4
Tysons, VA 22102-3627
Mailing address
8300 Greensboro Dr Ste L1-132
Tysons, VA 22102-3605
Phone (571) 274-6838
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701009101 | VA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lahey Health Behavioral Services | Past | Accepting new patients | |
| Northeast Hospital Corporation | Past | Accepting new patients |
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688342400000",
"number": "1922415793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8300 GREENSBORO DR STE L1-132",
"city": "TYSONS",
"state": "VA",
"postal_code": "221023605",
"telephone_number": "571-274-6838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1640 BORO PL FL 4",
"city": "TYSONS",
"state": "VA",
"postal_code": "221023627",
"telephone_number": "571-274-6838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RHODES",
"first_name": "RANDALL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-14",
"last_updated": "2023-07-03",
"certification_date": "2023-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701009101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tysons, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.