MARY CARMEN RANDLEMAN M.ED., LPC
NPI 1083875769
Counselor - Professional in Sallisaw, OK
About Mary Carmen Randleman M.ed., Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY CARMEN RANDLEMAN M.ED., LPC (NPI 1083875769) is an individual professional provider in Sallisaw, Oklahoma, licensed in Oklahoma (4855) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2007).
NPPES Registry Identity
Specialties & Licenses 6
Other Names 1
Other Identifiers 2
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
Mary Carmen Randleman M.ed., Lpc 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.
Medicare Billing Reassignment
Medicare enrollment records show Mary Randleman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Cypress, TX 77433
- Reassigned Medicare billing, Texas enrollment
- 83 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.
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 Mary Randleman's NPI number?
The NPI number for Mary Randleman is 1083875769. It was assigned to this individual provider in the NPPES registry on June 24, 2008. The provider is also known as M Carmen Randleman.
Where is Mary Randleman located?
Mary Randleman practices at 207 N Oak St Ste 5, Sallisaw, OK 74955. The listed phone number is (918) 724-6449.
What is Mary Randleman's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Mary Randleman enrolled in Medicare?
Yes. Mary Randleman 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 organization bills Medicare for Mary Randleman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Randleman reassigns Medicare benefits to The Resilience Center Of Houston, LLC (Cypress, TX). The 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 Mary Randleman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mary Randleman accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Mary Randleman 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 Mary Randleman was last updated on September 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Mary Carmen Randleman, M.ED., LPC · NPI 1083875769
Professional provider in Sallisaw, Oklahoma. Individual provider, active in the CMS NPPES registry since June 24, 2008.
## Identity
- **NPI:** 1083875769 (Entity type: Individual)
- **Enumerated:** June 24, 2008
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 4855 (Oklahoma)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 207 N OAK ST STE 5, Sallisaw, OK 74955-4602
- **Phone:** (918) 724-6449 · **Fax:** (918) 208-0687
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** The Resilience Center Of Houston, LLC (NPI 1821475039, Cypress, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** September 29, 2023
- **Other identifiers:** Medicaid 200456660 A (OK); Medicaid 200378480 (OK)
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Source: [NPI Profile](https://npiprofile.com/npi/1083875769) · Data from the CMS NPPES public registry.