MANDY RANDALL LPC LCDC NPI 1316523749

NPI Information

  • NPI: 1316523749
  • Provider Name: MANDY RANDALL, LPC, LCDC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 18018 OVERLOOK LOOP
    SUITE 105, PMB 1029
    SAN ANTONIO, TX
    ZIP 78259
  • Phone: (210) 595-9158

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NPI Details

Mandy Randall, LPC, LCDC is a professional counselor in San Antonio, TX with 9 years of experience. Mandy Randall, LPC, LCDC NPI is 1316523749. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

18018 OVERLOOK LOOP
SUITE 105, PMB 1029
SAN ANTONIO, TX
ZIP 78259-883
Phone: (210) 595-9158
Fax: (844) 832-4701

The NPI 1316523749 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 3/24/2021 and was last updated on 1/21/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)15052TEXASNo
2101YP2500XCounselorProfessional79060TEXASYes
3101Y00000XCounselor79060TEXASNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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