Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Mr. Randy Dale Green, MS, LAC

Mental Health Counselor in Fordyce, AR · enumerated 2009 · practices at Fordyce Counseling Clinic, Inc..

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1689804320

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Registry record

Entity type Individual (Type 1)

Name Mr. Randy Dale Green

Credential MS, LAC

Sex Male

Practice address Fordyce, AR, 71742

Phone (870) 352-5122

Fax (870) 352-5127

Enumeration date Jul 15, 2009

Last updated in NPPES Mar 25, 2021

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

101YM0800X Mental Health Counselor Behavioral Health & Social Service Providers · License P1109064 (AR) Primary

LAC · Licensed Acupuncturist: A practitioner licensed to perform acupuncture. About the LAC credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What specialty is Randy Green?

Randy Green is registered in NPPES with the primary taxonomy of Mental Health Counselor. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-03-25.