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JOHN RANDOLPH LPC-MHSP
NPI 1073264115
Counselor - Professional in Knoxville, TN

Active since January 11, 2022PECOS Enrolled
705 GATE LN STE 102, KNOXVILLE, TN 37909(865) 444-8580 Get Directions Write a Review

NPPES record last updated: September 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 12, 2023, Jan 11, 2022 (2 updates tracked since 2022).

About John Randolph Lpc-mhsp NPPES

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

JOHN RANDOLPH LPC-MHSP (NPI 1073264115) is an individual professional provider in Knoxville, Tennessee, licensed in Tennessee (5993) and active in the NPI registry since January 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073264115
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJOHN RANDOLPHCredential: LPC-MHSP
Location Address705 GATE LN STE 102Knoxville, TN 37909-3519
Mailing Address705 Gate Ln Ste 102Knoxville, TN 37909-3519 · (865) 444-8580
Phone(865) 444-8580
Sole ProprietorNo
Enumeration DateJanuary 11, 2022
Last NPPES UpdateSeptember 25, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2025
✔ NPI 1073264115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in TN · 5993
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
705 GATE LN STE 102, Knoxville, TN 37909
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John Randolph Lpc-mhsp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 5

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

LAURA VICTORIA WOLFE MS, ASSOCIATE LMFT
Counselor (Mental Health)
705 GATE LN STE 102
KNOXVILLE, TN 37909
Knox County (865) 444-8580
MRS. CARRIE BRIDWELL JACOBS LCSW
Social Worker (Clinical)
705 GATE LN STE 102
KNOXVILLE, TN 37909
Knox County (865) 444-8580
BRENT ALLEN CRENSHAW MA
Marriage & Family Therapist
705 GATE LN STE 102
KNOXVILLE, TN 37909
Knox County (865) 562-2887
REBEKAH E. WILSON LCSW
Social Worker (Clinical)
705 GATE LN STE 102
KNOXVILLE, TN 37909
Knox County (865) 444-8580
TARA GULLING HAVELY LCSW
Social Worker (Clinical)
705 GATE LN STE 102
KNOXVILLE, TN 37909
Knox County (865) 444-8580

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 John Randolph's NPI number?

The NPI number for John Randolph is 1073264115. It was assigned to this individual provider in the NPPES registry on January 11, 2022.

Where is John Randolph located?

John Randolph practices at 705 Gate Ln Ste 102, Knoxville, TN 37909. The listed phone number is (865) 444-8580.

What is John Randolph's specialty?

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

Is John Randolph enrolled in Medicare?

Yes. John Randolph is registered in the Medicare PECOS enrollment system.

What insurance does John Randolph accept?

Health plans from Alliant Health Plans, Inc. list John Randolph as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for John Randolph was last updated on September 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.