RANDY RANDALL DITMORE LPC
NPI 1639840499
Counselor - Mental Health in Fulshear, TX

Active since September 22, 2021
5302 WATER TERRACE LN, FULSHEAR, TX 77441(281) 989-3908 Get Directions Write a Review

NPPES record last updated: September 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Randy Randall Ditmore Lpc NPPES

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

RANDY RANDALL DITMORE LPC (NPI 1639840499) is an individual mental health provider in Fulshear, Texas, licensed in Texas (15016) and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1639840499
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameRANDY RANDALL DITMORECredential: LPC
Location Address5302 WATER TERRACE LNFulshear, TX 77441-2243
Mailing Address5302 Water Terrace LnFulshear, TX 77441-2243 · (281) 989-3908
Sole ProprietorYes
Enumeration DateSeptember 22, 2021
NPPES CertifiedSeptember 22, 2021
NPI 1639840499 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 TX · 15016
5302 WATER TERRACE LN, Fulshear, TX 77441

Other Names 1

Other Name (5)James Randall Ditmore Lpc

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 Randy Ditmore's NPI number?

The NPI number for Randy Ditmore is 1639840499. It was assigned to this individual provider in the NPPES registry on September 22, 2021. The provider is also known as James Randall Ditmore Lpc.

Where is Randy Ditmore located?

Randy Ditmore practices at 5302 Water Terrace Ln, Fulshear, TX 77441. The listed phone number is (281) 989-3908.

What is Randy Ditmore'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 Randy Ditmore was last updated on September 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.