Mr. Richard Randolph
Mr. Richard Randolph is a Mental Health Counselor in Chicago, Illinois. Qualified in 2015, 11 years ago. Practices with Solutions Counseling and Consulting Group, a 2-clinician group and accepts Medicare assignment. Licensed in Illinois.
- Years since qualifying
- 11
- Licensed in
- IL
- In the registry since
- 2020
Practice location Address checks out
11740 S Western AveChicago, IL 60643-4732
Phone: (312) 206-9131
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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 178012996 (IL) |
|---|
Record details
| NPI number | 1477172914 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 14, 2020 |
| Last updated in NPPES | April 14, 2020 |
| Certification date | April 14, 2020 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 2015 (11 years in practice) |
| Group practice | Solutions Counseling And Consulting Group — 2 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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