IndividualActive
Randall Anderson, LPE-I
NPI 1508135625 · Counseling Psychologist · Russellville, AR
Provider details
- NPI number
- 1508135625
- Entity type
- Individual
- Primary specialty
- Counseling PsychologistBehavioral Health & Social Service Providers
- Credential
- LPE-I
- Sex
- Male
- Sole proprietor
- No
- License
- 88-12EI (AR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
110 Skyline Dr
Russellville, AR 72801-3362
Phone: (479) 968-1298
Fax: (479) 968-6053
Street-level locationGet directions
Mailing address
2400 S 48th St
Springdale, AR 72762-6683
Registry dates
- Enumerated
- 2011-12-19
- Last updated
- 2020-04-21
- Certified
- 2020-04-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.