Randolph Anthony Pollock, LPC, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

13304 Issued in TX

Practice address

5364 Fredericksburg Rd
Suite 110
San Antonio, TX 78229-6107

Phone

(210) 308-8300

NPI assigned

Jan 5, 2007

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": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1972650216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1804 INDIAN PAINT BRUSH RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782324931",
            "telephone_number": "210-496-3343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5364 FREDERICKSBURG RD",
            "address_2": "SUITE 110",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782296107",
            "telephone_number": "210-308-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLOCK",
        "first_name": "RANDOLPH",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "13304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trevor G Pollard, MD
• Annie Oleavia Polley
• Derek Cole Polley
• Maria Pollifrone, D.O.
• Bruce Anthony Pollock, LPC
• Ashley Lynn Pollok, RD,LD
• Eduardo N. Pollono, MD
• Ricardo Polo Navarro
• Veronika Polskaya
• Alison Leone Polston, FNP-C

• Mental Health Counselor in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.