LORI RANDOLPH LCSW, PEL, CYT 200
NPI 1154290757
Social Worker - Clinical in Jonesboro, IL
About Lori Randolph Lcsw, Pel, Cyt 200 NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LORI RANDOLPH LCSW, PEL, CYT 200 (NPI 1154290757) is an individual clinical provider in Jonesboro, Illinois, licensed in Illinois (149.030335) and active in the NPI registry since November 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lori Randolph Lcsw, Pel, Cyt 200 is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Lori Randolph reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Jonesboro, IL 62952
- Reassigned Medicare billing, Illinois enrollment
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 62952 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JONESBORO, IL 62952
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 Lori Randolph's NPI number?
The NPI number for Lori Randolph is 1154290757. It was assigned to this individual provider in the NPPES registry on November 3, 2025.
Where is Lori Randolph located?
Lori Randolph practices at 2805 State Route 127 S, Jonesboro, IL 62952. The listed phone number is (618) 685-0580.
What is Lori Randolph's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Lori Randolph enrolled in Medicare?
Yes. Lori Randolph is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Lori Randolph's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lori Randolph reassigns Medicare benefits to Mindful Pathways Family Counseling Center, PLLC (Jonesboro, IL). 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 Lori Randolph's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Lori Randolph was last updated on November 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.