Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Mr. Randy Fitzgerald Hines Jr., RA

Individual provider Peer Specialist · NPI 1528903234

Mr. Randy Fitzgerald Hines Jr., RA is a Peer Specialist in Fairmont, West Virginia. Practices as a sole proprietor. Licensed in West Virginia.

Licensed in
WV
In the registry since
2026

Practice location Address checks out

300 Holbert Ave
Fairmont, WV 26554-3224
Phone: (304) 363-2228
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence F309712 (WV)

Record details

NPI number1528903234
Entity typeIndividual (Type 1)
GenderMale
Credentials RA
Sole proprietorYes
NPI enumeratedApril 20, 2026
Last updated in NPPESSeptember 1, 2026
Certification dateSeptember 1, 2026

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