Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mandy Randall, LPC, LCDC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1316523749

Mandy Randall, LPC, LCDC is a Mental Health Counselor in San Antonio, Texas. Qualified in 2017, 9 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
9
Licensed in
TX
In the registry since
2021
Specialties on file
3
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

18018 Overlook Loop Ste 105 Pmb 1029
San Antonio, TX 78259-1883
Phone: (210) 595-9158
Fax: (844) 832-4701
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 79060 (TX)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 15052 (TX)
Counselor Taxonomy 101Y00000X · Licence 79060 (TX)

Record details

NPI number1316523749
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC , LCDC
Sole proprietorYes
NPI enumeratedMarch 24, 2021
Last updated in NPPESJanuary 21, 2025
Certification dateJanuary 21, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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