RANDOLPH ANDERSON LADC
NPI 1477185346
Counselor - Addiction (Substance Use Disorder) in Golden Valley, MN

Q: What is Randolph Anderson's NPI number?

The NPI number for Randolph Anderson is 1477185346. It was assigned to this individual provider in the NPPES registry on February 10, 2020.

Q: What is Randolph Anderson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Randolph Anderson was last updated on March 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since February 10, 2020

5645 LINDSAY ST, GOLDEN VALLEY, MN 55422(763) 331-5167 Get Directions Write a Review

NPPES record last updated: March 5, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 5, 2021, Feb 10, 2020 (2 updates tracked since 2020).

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About Randolph Anderson Ladc NPPES

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

RANDOLPH ANDERSON LADC (NPI 1477185346) is an individual addiction (substance use disorder) provider in Golden Valley, Minnesota, licensed in Minnesota (305346) and active in the NPI registry since February 2020.

NPPES Registry Identity

NPI1477185346

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameRANDOLPH ANDERSONCredential: LADC

Location Address5645 LINDSAY STGolden Valley, MN 55422-4627

Mailing Address5645 Lindsay StGolden Valley, MN 55422-4627 · (763) 331-5167

Phone(763) 331-5167

Sole ProprietorYes

Enumeration DateFebruary 10, 2020

Last NPPES UpdateMarch 5, 20212 updates tracked since enumeration

NPPES CertifiedMarch 5, 2021

✔ NPI 1477185346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in MN · 305346

5645 LINDSAY ST, Golden Valley, MN 55422

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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 Randolph Anderson's NPI number?

The NPI number for Randolph Anderson is 1477185346. It was assigned to this individual provider in the NPPES registry on February 10, 2020.

Where is Randolph Anderson located?

Randolph Anderson practices at 5645 Lindsay St, Golden Valley, MN 55422. The listed phone number is (763) 331-5167.

What is Randolph Anderson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Randolph Anderson was last updated on March 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.