RANDOLPH PAUL ANDERSEN LCSW
NPI 1083095392
Social Worker - Clinical in Wheaton, IL

Active since June 11, 2015PECOS EnrolledAccepts Medicare Assignment
128 S COUNTY FARM RD STE C, WHEATON, IL 60187(630) 447-8818 Get Directions Write a Review

NPPES record last updated: September 5, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 5, 2024, Nov 17, 2022, Jul 27, 2021 and 1 more (4 updates tracked since 2019).

About Randolph Paul Andersen Lcsw NPPES

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

RANDOLPH PAUL ANDERSEN LCSW (NPI 1083095392) is an individual clinical provider in Wheaton, Illinois, licensed in Illinois (149027573) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS and is a graduate of Other (1984).

NPPES Registry Identity

NPI1083095392
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameRANDOLPH PAUL ANDERSENCredential: LCSW
Location Address128 S COUNTY FARM RD STE CWheaton, IL 60187-2400
Mailing Address128 S County Farm Rd Ste CWheaton, IL 60187-2400 · (630) 447-8818
Sole ProprietorNo
Medical School CMSOtherGraduated 1984
Enumeration DateJune 11, 2015
Last NPPES UpdateSeptember 5, 20244 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2024
✔ NPI 1083095392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IL · 149027573
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
128 S COUNTY FARM RD STE C, Wheaton, IL 60187

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Randolph Paul Andersen Lcsw 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 ID8628452562
PECOS Enrollment IDI20220826001326, I20220830002321, I20251009003776
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Randolph Andersen reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community/Behavioral Health
8931 HURON ST
Thornton, CO 80260
  • Reassigned Medicare billing, Colorado enrollment
  • 96 clinicians in this Medicare group
Psychiatry
6169 S BALSAM WAY STE 320
Littleton, CO 80123
  • Reassigned Medicare billing, Colorado enrollment
  • 63 clinicians in this Medicare group
Psychiatry
7877 WILLOW CHASE BLVD
Houston, TX 77070
  • Reassigned Medicare billing, Colorado, Illinois and Texas enrollments
  • 76 clinicians in this Medicare group
Family Medicine
7877 WILLOW CHASE BLVD
Houston, TX 77070
  • Reassigned Medicare billing, Colorado, Illinois and Texas enrollments
  • 76 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60187 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $59.81 – $181.38
Typical copayment $0.00 (range $14.95 – $45.34)
Most-billed visit code NA
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

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

Social Worker (Clinical)
128 S COUNTY FARM RD STE C
WHEATON, IL 60187
Social Worker
128 S COUNTY FARM RD STE C
WHEATON, IL 60187
Counselor (Professional)
128 S COUNTY FARM RD STE C
WHEATON, IL 60187
Counselor (Mental Health)
128 S COUNTY FARM RD STE C
WHEATON, IL 60187
Counselor (Mental Health)
128 S COUNTY FARM RD STE C
WHEATON, IL 60187
Counselor (Professional)
128 S COUNTY FARM RD STE C
WHEATON, IL 60187
Social Worker (Clinical)
128 S COUNTY FARM RD STE C
WHEATON, IL 60187
Counselor (Professional)
128 S COUNTY FARM RD STE C
WHEATON, IL 60187

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 Randolph Andersen's NPI number?

The NPI number for Randolph Andersen is 1083095392. It was assigned to this individual provider in the NPPES registry on June 11, 2015.

Where is Randolph Andersen located?

Randolph Andersen practices at 128 S County Farm Rd Ste C, Wheaton, IL 60187. The listed phone number is (630) 447-8818.

What is Randolph Andersen's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Randolph Andersen enrolled in Medicare?

Yes. Randolph Andersen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Randolph Andersen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Randolph Andersen reassigns Medicare benefits to 4 organizations: Community Reach Center, Inc (Thornton, CO), Colorado United Psych LLC (Littleton, CO), Psychiatry Of Texas PLLC (Houston, TX) and Psychplus Medical Associates, PLLC (Houston, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Randolph Andersen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Randolph Andersen accept?

Health plans from Baylor Scott and White Health Plan, Cigna Healthcare, Oscar Health, Oscar Insurance Company and UnitedHealthcare list Randolph Andersen 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 Randolph Andersen was last updated on September 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.