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Active NPI 1730378860 Individual Practitioner Male Practitioner

Randall S Braddock , MA, LPC

Counselor - Professional • Universal City, TX

Professional Overview & Biography Verified Profile Summary

Randall Braddock, MA, LPC is a registered healthcare professional specializing in Counselor - Professional in Universal City, TX. Practice services are available at 433 KITTY HAWK RD STE 219 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

433 Kitty Hawk Rd Ste 219

Universal City, TX 781483829

Telephone 2105661280
Fax 2105798533
Associated Practice Facility / Clinic
🏢 Alba Wellness Case Management Llc Facility NPI 1043877343

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Universal City, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 3.0 Yrs
State Avg: 14.1 Yrs
Regional Practice Density
23 Specialists

Practicing in Universal City, TX (21203 Statewide)

Telehealth Adoption Rate
4.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License TX 06984

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

14 Associated Practitioners
Marina Jimenez

Counselor - Professional

NPI 1013782424
Erika Mcneal , MS, NCC, LPC-INTERN

Counselor - Mental Health

NPI 1124467188

Master of Science, National Certified Counselor, LPCINTERN

Gladys Cisneros , MS

Counselor - Professional

NPI 1174072367

Master of Science

Amberkay Crotts

Counselor - Mental Health

NPI 1255758413
Dr. Patricia Leaver , PhD

Counselor - Professional

NPI 1336806595

Doctor of Philosophy (Ph.D.)

Esmeralda Barraza

Counselor - Professional

NPI 1467945907

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location September 24, 2019

Registered at 433 KITTY HAWK RD STE 219, UNIVERSAL CITY, TX 781483829 (Tel: 2105661280)

📍
Updated Business Mailing Address September 24, 2019

Registered at 433 KITTY HAWK RD STE 219, UNIVERSAL CITY, TX 781483829 (Tel: 2105661280)

✅
NPI Profile Active October 15, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location October 15, 2007

Registered at 9100 SOUTHWEST FWY, 151, HOUSTON, TX 770741519 (Tel: 7134574372)

📍
Updated Business Mailing Address October 15, 2007

Registered at 9100 SOUTHWEST FWY, 151, HOUSTON, TX 770741519 (Tel: 7134574372)

👤
Provider Name / Credentials Updated October 15, 2007

Recorded as RANDALL BRADDOCK, MA, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 15, 2007

Counselor (License #06984 in TX)

🟢
Initial NPI Registration & Enumeration October 15, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1730378860
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 15, 2007
Last Update: September 24, 2019
Sole Proprietor: No
Update or Correct Profile

Mailing Address

433 Kitty Hawk Rd Ste 219

Universal City, TX 781483829

Phone: 2105661280

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.