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KEVIN RANDA LPCC
NPI 1023854809
Counselor - Professional in Cloquet, MN

Active since July 02, 2024PECOS Enrolled
927 TRETTEL LN, CLOQUET, MN 55720(218) 879-1227 Get Directions Write a Review

NPPES record last updated: October 31, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kevin Randa Lpcc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEVIN RANDA LPCC (NPI 1023854809) is an individual professional provider in Cloquet, Minnesota, licensed in Minnesota (4342) and active in the NPI registry since July 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1023854809
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameKEVIN RANDACredential: LPCC
Location Address927 TRETTEL LNCloquet, MN 55720-1345
Mailing Address2802 Dewey AveCloquet, MN 55720-2754
Phone(218) 879-1227
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJuly 2, 2024
Last NPPES UpdateOctober 31, 2024
NPPES CertifiedOctober 31, 2024
✔ NPI 1023854809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MN · 4342
927 TRETTEL LN, Cloquet, MN 55720
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kevin Randa Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4880131820
PECOS Enrollment IDI20240807004187
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. ARNE VAINIO MD
Family Medicine
927 TRETTEL LN
CLOQUET, MN 55720
Carlton County (218) 879-1227
TAYLOR BECKENBACH LMFT
Marriage & Family Therapist
927 TRETTEL LN
CLOQUET, MN 55720
Carlton County (218) 879-1227
KARI STROIK LICSW
Social Worker (Clinical)
927 TRETTEL LN
CLOQUET, MN 55720
Carlton County (218) 879-1227
MRS. KIRSTEN MARIE KORTESMA NP
Nurse Practitioner (Family)
927 TRETTEL LN
CLOQUET, MN 55720
Carlton County (218) 879-1227
FOND DU LAC RESERVATION BUSINESS COMMITTEE
Clinic/Center (Mental Health (Including Community Mental Health Center))
927 TRETTEL LN
CLOQUET, MN 55720
Carlton County (218) 879-1227
MS. LEEANNA LYNN STOCK RN, LD, CO
Dietitian, Registered
927 TRETTEL LN
CLOQUET, MN 55720
Carlton County (218) 879-1227
DR. ROBERT ALEXANDER JOHNSON DMD
Dentist
927 TRETTEL LN
CLOQUET, MN 55720
Carlton County (218) 879-1227
KATIE HUGHES
Health Educator
927 TRETTEL LN
CLOQUET, MN 55720
Carlton County (218) 879-1227

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Randa's NPI number?

The NPI number for Kevin Randa is 1023854809. It was assigned to this individual provider in the NPPES registry on July 2, 2024.

Where is Kevin Randa located?

Kevin Randa practices at 927 Trettel Ln, Cloquet, MN 55720. The listed phone number is (218) 879-1227.

What is Kevin Randa's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Kevin Randa enrolled in Medicare?

Yes. Kevin Randa is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kevin Randa was last updated on October 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.