LISA RANDOLPH (NPI# 1811445729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811445729 |
| Entity Type | Individual |
| Full Name | LISA RANDOLPH |
| Credential | PLPC |
| Practice Address |
8576 Veterans Memorial Pkwy O Fallon MO 63366-3080 |
| Mailing Address |
7955 Big Bend Blvd Saint Louis MO 63119-2703 |
| Practice Telephone | 3149682216 |
| Practice Fax Number | 3149682335 |
| Mailing Telephone | 3149682216 |
| Mailing Fax Number | 3149682335 |
| Enumeration Date | 2016-09-20 |
| Last Update Date | 2016-09-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
2015045055 | MO | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336538123 | Lisa Randolph | Marriage & Family Therapist | 7121 Grand Prairie Dr, Colorado Springs, CO 80923-8763 | 2015-01-15 |
| 1831418771 | Lisa Hydilya Randolph | Specialist | 1923 State St, Harrisburg, PA 17103-1641 | 2010-05-17 |
| 1447572466 | Lisa Randolph | Physician Assistant | 408 Crain Hwy S Ste 7, Glen Burnie, MD 21061-3661 | 2010-02-17 |
| 1114393279 | Lisa Randolph | Nurse Practitioner | 1010 Murray Ave, San Luis Obispo, CA 93405-1806 | 2015-08-12 |
| Street Address |
8576 VETERANS MEMORIAL PKWY |
| City | O FALLON |
| State | MO |
| Zip Code | 63366-3080 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407314826 | Transformative Health 180 LLC | Physical Therapist | 821 West Terra Lane, O Fallon, MO 63366 | 2019-03-05 |
| 1740754126 | Donna Marie Person | Nurse Practitioner | 331 Magnolia Valley Dr., Ofallon, MO 63366 | 2019-01-18 |
| 1679069470 | Samantha Schulte | Clinical Pharmacology | 7 Poor Richard Ct, O Fallon, MO 63366 | 2018-07-03 |
| 1790218048 | Jill Buery | Marriage & Family Therapist | 801 S Woodlawn Ave, Ste 15, O'fallon, MO 63366 | 2017-04-04 |
| 1114466968 | Jessica Anne Morris | Counselor | 103 Lincoln Street, O'fallon, MO 63366 | 2017-02-13 |
| 1639528540 | Kyle James Neuschaefer | Dentist | 31 Ofallon Sq, O Fallon, MO 63366 | 2016-06-10 |
| 1295116143 | Katherine Seiler Harkess | Obstetrics & Gynecology | 300 Winding Woods Drive Suite 200, O'fallon, MO 63366 | 2015-06-16 |
| 1528453354 | Amanda Flamm | Nurse Practitioner | 1101 Hightway K, Ofallon, MO 63366 | 2015-03-30 |
| 1144639972 | Sara Birkemeier | Physical Therapist | 1541 Norwood Hills Dr, Ofallon, MO 63366 | 2014-08-06 |
| 1710390893 | Catherine Rose Most | Speech-Language Pathologist | 555 E. Terra Lane, Fort Zumwalt School District, O'fallon, MO 63366 | 2014-06-06 |
| Find all providers in zip 63366 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720329 | Come As You Are Counseling LLC | Counselor | 1001 Boardwalk Springs Place, Suite 111, O Fallon, MO 63368 | 2020-11-04 |
| 1740751106 | Belinda M. Clark | Counselor | 126 Alice Dr, O Fallon, IL 62269-1601 | 2018-12-11 |
| 1316423981 | Jessica Mcdaniel | Counselor | 1117 Old Vincennes Trl, O Fallon, IL 62269-4115 | 2018-07-17 |
| 1538655873 | Paul Richard Marion | Counselor | 835 W Terra Ln, O Fallon, MO 63366-2300 | 2018-07-10 |
| 1801394515 | Bridget Marie Beacom | Counselor | 746 Springfield Dr, O Fallon, MO 63366-4942 | 2018-01-28 |
| 1215447610 | Sos Crisis Intervention, LLC | Counselor | 901 Terrace Ct, O Fallon, IL 62269-3437 | 2017-10-11 |
| 1023186806 | Christianne Meier Judy | Counselor | 635 S Lincoln Ave, O Fallon, IL 62269-2663 | 2006-12-01 |
| 1194736397 | William Carl Rook | Counselor | 732 Sussex Way, Suite B, O Fallon, IL 62269-3074 | 2006-08-11 |
| 1710976345 | Susan Patricia Frew | Counselor | 103 Lincoln St, O Fallon, MO 63366-1603 | 2005-10-17 |
| 1013904580 | Alexander F Macdonald | Counselor | 3 Saint Elizabeth Blvd Ste 4000, O Fallon, IL 62269-1284 | 2005-09-30 |
| Find all providers in O FALLON | ||||
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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.