MS. THEODORA LUGENE RANDOLPH
NPI 1245570027
Counselor - Professional in Las Vegas, NV

Active since February 15, 2013
3514 E TROPICANA AVE STE 2C, LAS VEGAS, NV 89121(029) 923-2897 Get Directions Write a Review

NPPES record last updated: October 13, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Oct 13, 2023, Oct 20, 2016 (2 updates tracked since 2016).

About Ms. Theodora Lugene Randolph NPPES

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

MS. THEODORA LUGENE RANDOLPH (NPI 1245570027) is an individual professional provider in Las Vegas, Nevada, licensed in Nevada (CI5305) and active in the NPI registry since February 2013.

NPPES Registry Identity

NPI1245570027
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. THEODORA LUGENE RANDOLPH
Location Address3514 E TROPICANA AVE STE 2CLas Vegas, NV 89121-7351
Mailing Address2101 W Warm Springs Rd Apt 3916Henderson, NV 89014-5520 · (702) 544-9454
Sole ProprietorYes
Enumeration DateFebruary 15, 2013
Last NPPES UpdateOctober 13, 20232 updates tracked since enumeration
NPPES CertifiedOctober 13, 2023
NPI 1245570027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in NV · CI5305
3514 E TROPICANA AVE STE 2C, Las Vegas, NV 89121

Other Names 1

Professional Name (2)Theodora Lugene Randolph Ms, Lcpc Intern

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 Theodora Randolph's NPI number?

The NPI number for Theodora Randolph is 1245570027. It was assigned to this individual provider in the NPPES registry on February 15, 2013. The provider is also known as Theodora Lugene Randolph Ms, Lcpc Intern.

Where is Theodora Randolph located?

Theodora Randolph practices at 3514 E Tropicana Ave Ste 2C, Las Vegas, NV 89121. The listed phone number is (029) 923-2897.

What is Theodora Randolph's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Theodora Randolph was last updated on October 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.