MICHAEL RANDOLPH
NPI 1144010653
Counselor - Mental Health in Roseburg, OR

Active since May 08, 2025
548 SE JACKSON ST, ROSEBURG, OR 97470(541) 440-3532 Get Directions Write a Review

NPPES record last updated: May 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael Randolph NPPES

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

MICHAEL RANDOLPH (NPI 1144010653) is an individual mental health provider in Roseburg, Oregon and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1144010653
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMICHAEL RANDOLPH
Location Address548 SE JACKSON STRoseburg, OR 97470-4983
Mailing AddressPo Box 1121Roseburg, OR 97470-0254 · (541) 672-2691
Sole ProprietorNo
Enumeration DateMay 8, 2025
NPPES CertifiedMay 8, 2025
NPI 1144010653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
548 SE JACKSON ST, Roseburg, OR 97470

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.

Counselor (Mental Health)
548 SE JACKSON ST
ROSEBURG, OR 97470
Case Manager/Care Coordinator
548 SE JACKSON ST
ROSEBURG, OR 97470
Counselor (Mental Health)
548 SE JACKSON ST
ROSEBURG, OR 97470
Counselor (Addiction (Substance Use Disorder))
548 SE JACKSON ST
ROSEBURG, OR 97470
Counselor (Mental Health)
548 SE JACKSON ST
ROSEBURG, OR 97470
Marriage & Family Therapist
548 SE JACKSON ST
ROSEBURG, OR 97470
Registered Nurse
548 SE JACKSON ST
ROSEBURG, OR 97470
Case Manager/Care Coordinator
548 SE JACKSON ST
ROSEBURG, OR 97470

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 Michael Randolph's NPI number?

The NPI number for Michael Randolph is 1144010653. It was assigned to this individual provider in the NPPES registry on May 8, 2025.

Where is Michael Randolph located?

Michael Randolph practices at 548 SE Jackson St, Roseburg, OR 97470. The listed phone number is (541) 440-3532.

What is Michael Randolph's specialty?

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

When was this NPI record last updated?

The NPPES record for Michael Randolph was last updated on May 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.