PAMELA L WIZNER-RANDAZZO MA, LPC, CAADC
NPI 1043469646
Counselor - Mental Health in Cadillac, MI

Q: What is Pamela Wizner-randazzo's NPI number?

The NPI number for Pamela Wizner-randazzo is 1043469646. It was assigned to this individual provider in the NPPES registry on September 18, 2008.

Q: What is Pamela Wizner-randazzo's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Active since September 18, 2008PECOS EnrolledAccepts Medicare Assignment

520 COBB ST, CADILLAC, MI 49601(231) 775-6521(231) 775-1366 Get Directions Write a Review

NPPES record last updated: July 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 23, 2024, Jul 21, 2022, Oct 19, 2021 and 2 more (5 updates tracked since 2017).

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About Pamela L Wizner-randazzo Ma, Lpc, Caadc NPPES

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

PAMELA L WIZNER-RANDAZZO MA, LPC, CAADC (NPI 1043469646) is an individual mental health provider in Cadillac, Michigan, licensed in Michigan (6401006060) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1043469646

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NamePAMELA L WIZNER-RANDAZZOCredential: MA, LPC, CAADC

Location Address520 COBB STCadillac, MI 49601-2588

Mailing Address520 Cobb StCadillac, MI 49601-2588 · (231) 775-6521 · Fax (231) 775-1366

Phone(231) 775-6521

Fax(231) 775-1366

Sole ProprietorYes

Medical School CMSOtherGraduated 1995

Enumeration DateSeptember 18, 2008

Last NPPES UpdateJuly 23, 20245 updates tracked since enumeration

NPPES CertifiedJuly 23, 2024

✔ NPI 1043469646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in MI · 6401006060

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 6401006060 (MI)

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 6401006060 (MI)

520 COBB ST, Cadillac, MI 49601

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Secondary Practice Locations 2

Location 18630 W Peterson Point RdLake City, MI 49651-9051 · Phone (586) 668-1366 · Fax (231) 839-3322

Location 2805 S Carmel StCadillac, MI 49601-2344 · Phone (231) 775-6517

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Pamela L Wizner-randazzo Ma, Lpc, Caadc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1951750660

PECOS Enrollment IDI20231206003412

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.

MS. ANN G. CANE NP-C

Nurse Practitioner (Adult Health)