MR. THURSTON RANDALL CASAC NPI 1427567676

NPI Information

  • NPI: 1427567676
  • Provider Name: MR. THURSTON RANDALL, CASAC
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 250 GRAND CONCOURSE
    BRONX, NY
    ZIP 10451
  • Phone: (718) 292-2240

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NPI Details

MR. Thurston Randall, CASAC is an addiction (substance use disorder) counselor in Bronx, NY. MR. Thurston Randall, CASAC NPI is 1427567676. 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:

250 GRAND CONCOURSE
BRONX, NY
ZIP 10451
Phone: (718) 292-2240

The enumeration date for this NPI number is 9/20/2017 and was last updated on 9/20/2017.

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)21943NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
121943MEDICAIDNEW YORK

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: 3/30/2025

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