SHANITTA ANTALLESHIA RANDOLPH
NPI 1699372359
Counselor - Mental Health in Anchorage, AK

Active since October 06, 2020
1709 BRAGAW ST, ANCHORAGE, AK 99508(907) 346-2101 Get Directions Write a Review

NPPES record last updated: October 6, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shanitta Antalleshia Randolph NPPES

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

SHANITTA ANTALLESHIA RANDOLPH (NPI 1699372359) is an individual mental health provider in Anchorage, Alaska and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1699372359
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSHANITTA ANTALLESHIA RANDOLPH
Location Address1709 BRAGAW STAnchorage, AK 99508-3436
Mailing Address6800 E 12th AveAnchorage, AK 99504-1832 · (907) 310-0769
Sole ProprietorNo
Enumeration DateOctober 6, 2020
NPPES CertifiedOctober 6, 2020
NPI 1699372359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1709 BRAGAW ST, Anchorage, AK 99508

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 (Mental Health)
1709 BRAGAW ST
ANCHORAGE, AK 99508
Counselor (Mental Health)
1709 BRAGAW ST
ANCHORAGE, AK 99508
Counselor (Mental Health)
1709 BRAGAW ST
ANCHORAGE, AK 99508
Counselor (Mental Health)
1709 BRAGAW ST
ANCHORAGE, AK 99508
Counselor (Mental Health)
1709 BRAGAW ST
ANCHORAGE, AK 99508
Counselor (Mental Health)
1709 BRAGAW ST
ANCHORAGE, AK 99508
Counselor (Mental Health)
1709 BRAGAW ST
ANCHORAGE, AK 99508
Counselor (Mental Health)
1709 BRAGAW ST
ANCHORAGE, AK 99508

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 Shanitta Randolph's NPI number?

The NPI number for Shanitta Randolph is 1699372359. It was assigned to this individual provider in the NPPES registry on October 6, 2020.

Where is Shanitta Randolph located?

Shanitta Randolph practices at 1709 Bragaw St, Anchorage, AK 99508. The listed phone number is (907) 346-2101.

What is Shanitta 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 Shanitta Randolph was last updated on October 6, 2020. 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.