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MR. RANDOLPH BURRIS
NPI 1740658251
Counselor - Mental Health in Las Vegas, NV

Active since September 14, 2015
6893 W CHARLESTON BLVD, LAS VEGAS, NV 89117(702) 809-5712 Get Directions Write a Review

NPPES record last updated: September 14, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Randolph Burris NPPES

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

MR. RANDOLPH BURRIS (NPI 1740658251) is an individual mental health provider in Las Vegas, Nevada and active in the NPI registry since September 2015.

NPPES Registry Identity

NPI1740658251
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. RANDOLPH BURRIS
Location Address6893 W CHARLESTON BLVDLas Vegas, NV 89117-1640
Mailing Address6895 W Charleston BlvdLas Vegas, NV 89117-1640
Phone(702) 809-5712
Sole ProprietorYes
Enumeration DateSeptember 14, 2015
✔ NPI 1740658251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
6893 W CHARLESTON BLVD, Las Vegas, NV 89117
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Other Providers at the Same Location NPPES 3

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

WANDA L SHEPPARD FNP
Nurse Practitioner (Family)
6893 W CHARLESTON BLVD
LAS VEGAS, NV 89117
Clark County (702) 338-2954
KATHRYN RICHON MANSFIELD
Case Manager/Care Coordinator
6893 W CHARLESTON BLVD
LAS VEGAS, NV 89117
Clark County (702) 917-4141
TERESITA HERNANDEZ
Case Manager/Care Coordinator
6893 W CHARLESTON BLVD
LAS VEGAS, NV 89117
Clark County (702) 470-2288

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 Burris's NPI number?

The NPI number for Randolph Burris is 1740658251. It was assigned to this individual provider in the NPPES registry on September 14, 2015.

Where is Randolph Burris located?

Randolph Burris practices at 6893 W Charleston Blvd, Las Vegas, NV 89117. The listed phone number is (702) 809-5712.

What is Randolph Burris'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 Randolph Burris was last updated on September 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.