MR. RANDY REID
NPI 1174414684
Counselor in Hyde, PA

Active since July 12, 2025
1801 LAWRENCE AVE, HYDE, PA 16843(682) 478-5124 Get Directions Write a Review

NPPES record last updated: July 12, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Counselor

About RANDY REID

This page provides the complete NPI Profile along with additional information for Randy Reid, a provider established in Hyde, Pennsylvania with a medical specialization in Counselor. The healthcare provider is registered in the NPI registry with number 1174414684 assigned on July 2025. The practitioner's primary taxonomy code is 101Y00000X. The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1174414684 Verify this NPI
Provider Name
MR. RANDY REID
Gender
Male
Entity Type
Individual
Location Address
1801 LAWRENCE AVE HYDE, PA 16843
Location Phone
(682) 478-5124
Mailing Address
1801 LAWRENCE AVE HYDE, PA 16843
Mailing Phone
(682) 478-5124
Is Sole Proprietor?
Yes
Enumeration Date
07-12-2025
Last Update Date
07-12-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor

Taxonomy Code
101Y00000X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174414684, enumerated as an "individual" on July 12, 2025.

The provider is located at 1801 LAWRENCE AVE HYDE, PA 16843 and the phone number is (682) 478-5124.

Counselor with taxonomy code 101Y00000X.