Randy Estradq, BACHELOR
Counselor in Pawtucket, RI. Individual provider (NPI-1).
NPI number1114342102
StatusActive
Last updated in NPPESFeb 27, 2014
Details
- NPI
- 1114342102
- Entity type
- Individual (NPI-1)
- Name
- Randy Estradq
- Credential
- BACHELOR
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 27, 2014
- Last updated
- Feb 27, 2014
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
101 Bacon StPawtucket, RI 02860-5542
Phone 401-724-8400 · Fax 401-722-5280
Mailing address
101 Bacon StPawtucket, RI 02860-5542
Phone 401-724-8400 · Fax 401-722-5280
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 77 Counselor providers in Pawtucket · All 1,697 providers in Pawtucket
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