1. Home
  2. Directory
  3. New York
  4. Rego Park
  5. Counselor
  6. NPI Profile

MS. AUTUMN RAIN RANDALL MHC-LP
NPI 1104780378
Counselor - Mental Health in Rego Park, NY

Active since December 12, 2025
6336 99TH ST, REGO PARK, NY 11374(718) 459-2558(718) 770-7676 Get Directions Write a Review

NPPES record last updated: December 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Autumn Rain Randall Mhc-lp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. AUTUMN RAIN RANDALL MHC-LP (NPI 1104780378) is an individual mental health provider in Rego Park, New York, licensed in New York (P140191) and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1104780378
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. AUTUMN RAIN RANDALLCredential: MHC-LP
Location Address6336 99TH STRego Park, NY 11374-1979
Mailing Address6336 99th StRego Park, NY 11374-1979 · (718) 459-2558 · Fax (718) 770-7676
Phone(718) 459-2558
Fax(718) 770-7676
Sole ProprietorNo
Enumeration DateDecember 12, 2025
NPPES CertifiedDecember 12, 2025
✔ NPI 1104780378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NY · P140191
6336 99TH ST, Rego Park, NY 11374
Open in Google Maps ↗

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NEW YORK SPORTS AND JOINTS ORTHOPAEDIC SPECIALISTS PLLC
Orthopaedic Surgery
6336 99TH ST
REGO PARK, NY 11374
Queens County (718) 275-1919
DR. REGINA MOSHE M.D.
Internal Medicine
6336 99TH ST, 1ST FLOOR
REGO PARK, NY 11374
Queens County (718) 255-6615
MRS. ESFIRA AKILOVA MSW
Counselor (Addiction (Substance Use Disorder))
6336 99TH ST
REGO PARK, NY 11374
Queens County (718) 459-2558
JESMILE ARVELAEZ-STAGI MHC-LP
Counselor (Mental Health)
6336 99TH ST
REGO PARK, NY 11374
Queens County (718) 459-2558
REGO PARK COUNSELING LLC
Clinic/Center (Rehabilitation, Substance Use Disorder)
6336 99TH ST
REGO PARK, NY 11374
Queens County (718) 496-3834
REGO PARK COUNSELING LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
6336 99TH ST
REGO PARK, NY 11374
Queens County (718) 459-2558
YELENA TSIMBERG PH.D
Pathology (Clinical Laboratory Director, Non-physician)
6336 99TH ST
REGO PARK, NY 11374
Queens County (718) 459-2558
CITIMEDICAL I PLLC
Internal Medicine
6336 99TH ST
REGO PARK, NY 11374
Queens County (718) 255-6615

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Autumn Randall's NPI number?

The NPI number for Autumn Randall is 1104780378. It was assigned to this individual provider in the NPPES registry on December 12, 2025.

Where is Autumn Randall located?

Autumn Randall practices at 6336 99th St, Rego Park, NY 11374. The listed phone number is (718) 459-2558.

What is Autumn Randall's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Autumn Randall was last updated on December 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.