MR. RANDY ALAN HERZON (NPI# 1952658536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952658536 |
| Entity Type | Individual |
| Full Name | MR. RANDY ALAN HERZON |
| Credential | LPC |
| Practice Address |
1650 Broadway Bethlehem PA 18015-3904 |
| Mailing Address |
4277 Somerset Rd Schnecksville PA 18078-3543 |
| Practice Telephone | 6107998600 |
| Practice Fax Number | 6107998154 |
| Mailing Telephone | 6107300443 |
| Mailing Fax Number | 6104810052 |
| Enumeration Date | 2012-08-13 |
| Last Update Date | 2012-08-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
PC006198 | PA | Behavioral Health & Social Service Providers |
| Street Address |
1650 BROADWAY |
| City | BETHLEHEM |
| State | PA |
| Zip Code | 18015-3904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841362167 | Kidspeace National Centers Inc | Psychiatric Residential Treatment Facility | 1650 Broadway, Bethlehem, PA 18015 | 2006-11-14 |
| 1154956605 | Tracy Elizabeth Farkas | Counselor | 1650 Broadway, Bethlehem, PA 18015-3904 | 2020-03-05 |
| 1386135226 | Jessica Kristine Malewicz | Behavioral Analyst | 1650 Broadway, Bethlehem, PA 18015-3904 | 2018-05-27 |
| 1396234241 | Ashley L Mcfadden | Behavioral Analyst | 1650 Broadway, Bethlehem, PA 18015-3904 | 2018-05-07 |
| 1437648474 | Robyn Paul | Behavioral Analyst | 1650 Broadway, Bethlehem, PA 18017-3998 | 2018-05-04 |
| 1225559552 | Kidspeace Children's Hospital, Inc. | Clinic/Center | 1650 Broadway, Bethlehem, PA 18015-3904 | 2017-06-27 |
| 1053862722 | Serena Bednarczyk | Counselor | 1650 Broadway, Bethlehem, PA 18015-3904 | 2016-10-18 |
| 1366893083 | Ashley Marie Joseph | Social Worker | 1650 Broadway, Bethlehem, PA 18015 | 2016-06-23 |
| 1104274042 | Andrew Tilly | Case Manager/Care Coordinator | 1650 Broadway, Bethlehem, PA 18015-3904 | 2016-06-01 |
| 1215384680 | Gina Galardi | Counselor | 1650 Broadway, Bethlehem, PA 18015-3904 | 2016-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285253120 | Lorrette Ayers | Social Worker | St. Luke's Hospice, 2455 Black River Road, Bethlehem, PA 18015 | 2020-04-10 |
| 1982246278 | Hannah Do | Pharmacist | 817 E 4th St Apt 1, Bethlehem, PA 18015 | 2019-10-08 |
| 1568023737 | Nathan William White | Orthopaedic Surgery | 801 Ostrum Street Priscilla Payne Hurd Bldg, Bethlehem, PA 18015 | 2019-06-27 |
| 1437710076 | Samuel Schadt | Student in an Organized Health Care Education/Training Program | St. Luke's University Hospital, 801 Ostrum Street, Bethlehem, PA 18015 | 2019-06-25 |
| 1437716537 | Rachael Kramer | Counselor | 825 Delaware Avenue, Bethlehem, PA 18015 | 2019-05-23 |
| 1891358172 | Marko Yacoub | Dentist | 511 E 3rd Street, Fowler Bldg Suite 301, Bethlehem, PA 18015 | 2019-04-22 |
| 1649749748 | Chelsea Marie Breimann | Counselor | 826 Deleware Avenue, Fountain Hill, PA 18015 | 2018-11-19 |
| 1780179986 | Megan Minor | Emergency Medicine | 801 Ostrum St Ste 1, Bethlehem, PA 18015 | 2018-06-29 |
| 1831606128 | Lehigh University Autism Services | Clinic/Center | 111 Research Dr., Bethlehem, PA 18015 | 2018-01-08 |
| 1669901476 | Swati Agnihotri | Dentist | 511 E. 3rd Street Fowler Bldg, Suite 301, Bethlehem, PA 18015 | 2017-06-06 |
| Find all providers in zip 18015 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093320921 | Mary E Holt | Counselor | 346 Trail Winds Dr # 61, Bethlehem, GA 30620-1835 | 2020-09-08 |
| 1104434919 | Heather Helen Moore | Counselor | 1650 Broadway Fl 2, Bethlehem, PA 18015-3998 | 2020-07-17 |
| 1538783964 | Katelyn Fields | Counselor | 517 Evan Brook Dr, Bethlehem, GA 30620-4737 | 2020-06-01 |
| 1043843493 | Nicole S. Baker | Counselor | 406 Deleware Ave Suite 4, Bethlehem, PA 18017 | 2020-02-13 |
| 1952943078 | Daniel T James | Counselor | 4430 Jasmine Dr, Bethlehem, PA 18020-8840 | 2019-10-09 |
| 1760030886 | Erin Carr Rectanus | Counselor | 2223 Linden St Ste 101, Bethlehem, PA 18017-4806 | 2019-09-02 |
| 1841845641 | Jennifer Velekei | Counselor | 54 S Commerce Way Ste 170, Bethlehem, PA 18017-8619 | 2019-08-08 |
| 1588122725 | A Better You, LLC | Counselor | 44 E Broad St Ste 15, Bethlehem, PA 18018-5920 | 2019-03-06 |
| 1912470840 | Christine Marie Lutes | Counselor | 35 E Elizabeth Ave Ste 29, Bethlehem, PA 18018-6505 | 2019-01-03 |
| 1629543624 | Rachel Kelly | Counselor | 3005 Brodhead Rd Ste 28, Bethlehem, PA 18020-9101 | 2018-10-05 |
| Find all providers in BETHLEHEM | ||||
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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.