HEATHER JEAN RANDOLPH LPC
NPI 1417098112
Counselor - Mental Health in Nevada, MO

Active since February 08, 2007
1500 W ASHLAND ST, NEVADA, MO 64772(417) 667-2666 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Heather Jean Randolph Lpc NPPES

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

HEATHER JEAN RANDOLPH LPC (NPI 1417098112) is an individual mental health provider in Nevada, Missouri, licensed in Missouri (2004032818) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1417098112
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameHEATHER JEAN RANDOLPHCredential: LPC
Location Address1500 W ASHLAND STNevada, MO 64772-1710
Mailing Address1034 N Cedar StNevada, MO 64772-1437
Sole ProprietorYes
Enumeration DateFebruary 8, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1417098112 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 MO · 2004032818
1500 W ASHLAND ST, Nevada, MO 64772

Other Providers at the Same Location NPPES 20

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

Counselor (Professional)
1500 W ASHLAND ST
NEVADA, MO 64772
Counselor (Professional)
1500 W ASHLAND ST
NEVADA, MO 64772
Social Worker (Clinical)
1500 W ASHLAND ST
NEVADA, MO 64772
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1500 W ASHLAND ST
NEVADA, MO 64772
Counselor (Professional)
1500 W ASHLAND ST
NEVADA, MO 64772
Counselor (Professional)
1500 W ASHLAND ST
NEVADA, MO 64772
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1500 W ASHLAND ST
NEVADA, MO 64772
Social Worker (Clinical)
1500 W ASHLAND ST
NEVADA, MO 64772

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 Heather Randolph's NPI number?

The NPI number for Heather Randolph is 1417098112. It was assigned to this individual provider in the NPPES registry on February 8, 2007.

Where is Heather Randolph located?

Heather Randolph practices at 1500 W Ashland St, Nevada, MO 64772. The listed phone number is (417) 667-2666.

What is Heather Randolph'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 Heather Randolph was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.