MR. RANDOLPH SANDOVAL JR. (NPI# 1669730784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669730784 |
| Entity Type | Individual |
| Full Name | MR. RANDOLPH SANDOVAL JR. |
| Credential | ASSOCIATES |
| Practice Address |
1060 Pincay Dr Henderson NV 89015-2935 |
| Practice Telephone | 7027425146 |
| Practice Fax Number | 7024764767 |
| Mailing Telephone | 7027425146 |
| Mailing Fax Number | 7024764767 |
| Enumeration Date | 2012-04-26 |
| Last Update Date | 2012-04-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
1060 PINCAY DR |
| City | HENDERSON |
| State | NV |
| Zip Code | 89015-2935 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427349679 | Little Angels Youth Services | Counselor | 1060 Pincay Dr, Henderson, NV 89015-2935 | 2011-04-21 |
| 1841691060 | G Spence | Counselor | 1060 Pincay Dr, Henderson, NV 89015-2935 | 2014-09-07 |
| 1760740880 | Daniel Fober | Counselor | 1060 Pincay Dr, Henderson, NV 89015-2935 | 2012-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225503238 | Holly Abarca | Home Health Aide | 212 Shoshone Ln, Henderson, NV 89015 | 2018-10-05 |
| 1184111890 | Pain Center of Henderson LLC | Pain Medicine | 98 E. Lake Mead Pkwy. Suite 202, Henderson, NV 89015 | 2018-04-18 |
| 1124528963 | Edson Jeam Arredondo | Chore Provider | 160 E Horison Dr Ste A, Henderson, NV 89015 | 2018-02-19 |
| 1558879569 | Robin Harvey | Rehabilitation Practitioner | 203 S. Water St # 200, Henderson, NV 89015 | 2018-01-12 |
| 1477064368 | Chris Mcdonald | Counselor | 220 E Horizon Drive, Suite H, Henderson, NV 89015 | 2017-10-18 |
| 1649792565 | David Blake | Case Manager/Care Coordinator | 522 E. Lake Mead Parkway, Suite 5, Henderson, NV 89015 | 2017-07-12 |
| 1457726135 | Ozioma Chiebuka Nwosu | Nurse Practitioner | 200 E Horizon Dr Ste A, Henderson, NV 89015 | 2015-12-07 |
| 1770962839 | Myesha Nicole Butler | Counselor | 16 W. Pacific Street, Ste. 2, Henderson, NV 89015 | 2015-05-22 |
| 1629469424 | Felicia Suberville | Behavioral Analyst | 236 Red Horizon Terrace, Henderson, NV 89015 | 2015-02-16 |
| 1144618349 | Dinesh Bharwani | Physician Assistant | 270 West Lake Mead Parkway, Southwest Medical Associates, Henderson, NV 89015 | 2014-12-23 |
| Find all providers in zip 89015 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992314140 | Kirsten Kilburn | Counselor | 46 Aldrin Cir, Henderson, NV 89015-6103 | 2020-07-23 |
| 1518575166 | Madeleine Metcalf | Counselor | 2424 Rue Bienville Way, Henderson, NV 89044-0432 | 2020-07-20 |
| 1376165431 | Lindsay R Clanagan | Counselor | 2824 Dunnottar Ave, Henderson, NV 89044 | 2020-05-12 |
| 1386271740 | Fibonacci Services LLC | Counselor | 2920 N. Green Valley Pkwy, Bulding 8 & Suite 812, Henderson, NV 89014 | 2020-03-25 |
| 1821637406 | Robert William Allen | Counselor | 2831 Saint Rose Pkwy # 227, Henderson, NV 89052-4840 | 2019-12-31 |
| 1720649155 | Clark County Counseling LLC | Counselor | 1546 W Warm Springs Rd Ste 120, Henderson, NV 89014-4326 | 2019-06-26 |
| 1093370405 | Miguel Casiano | Counselor | 320 Conestoga Way Apt 6110, Henderson, NV 89002-9713 | 2019-05-01 |
| 1710499397 | Tammy Michele Jetton | Counselor | 202 Fullerton Ave, Henderson, NV 89015-5223 | 2017-11-03 |
| 1538670096 | Kristi Orgill Pace | Counselor | 111 S Gibson Rd Apt 622, Henderson, NV 89012-2670 | 2017-10-23 |
| 1699292904 | Westcare Nevada Inc | Counselor | 2501 N Green Valley Pkwy Ste 117-119, Henderson, NV 89014-0273 | 2017-08-28 |
| Find all providers in HENDERSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.