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MR. DUSTIN ALLEN RANDOLPH LPC
NPI 1174161897
Counselor - Professional in Hoover, AL

Active since December 12, 2019PECOS Enrolled
265 RIVERCHASE PKWY E STE 108, HOOVER, AL 35244(205) 982-3586 Get Directions Write a Review

NPPES record last updated: March 31, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 31, 2026, Mar 27, 2026, Dec 12, 2019 (3 updates tracked since 2019).

About Mr. Dustin Allen Randolph Lpc NPPES

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

MR. DUSTIN ALLEN RANDOLPH LPC (NPI 1174161897) is an individual professional provider in Hoover, Alabama, licensed in Alabama (LPC05854) and active in the NPI registry since December 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174161897
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. DUSTIN ALLEN RANDOLPHCredential: LPC
Location Address265 RIVERCHASE PKWY E STE 108Hoover, AL 35244-2815
Mailing Address265 Riverchase Pkwy E Ste 108Hoover, AL 35244-2815 · (205) 982-3586
Phone(205) 982-3586
Sole ProprietorNo
Enumeration DateDecember 12, 2019
Last NPPES UpdateMarch 31, 20263 updates tracked since enumeration
NPPES CertifiedMarch 31, 2026
✔ NPI 1174161897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in AL · LPC05854
265 RIVERCHASE PKWY E STE 108, Hoover, AL 35244
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Dustin Allen Randolph Lpc 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 2

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

ANNAGRACE BAKER BALDWIN LPC, NCC
Counselor (Professional)
265 RIVERCHASE PKWY E STE 108
HOOVER, AL 35244
Shelby County (205) 982-3586
ERIN WILBUR
Counselor (Professional)
265 RIVERCHASE PKWY E STE 108
HOOVER, AL 35244
Shelby County (205) 982-3586

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 Dustin Randolph's NPI number?

The NPI number for Dustin Randolph is 1174161897. It was assigned to this individual provider in the NPPES registry on December 12, 2019.

Where is Dustin Randolph located?

Dustin Randolph practices at 265 Riverchase Pkwy E Ste 108, Hoover, AL 35244. The listed phone number is (205) 982-3586.

What is Dustin Randolph's specialty?

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

Is Dustin Randolph enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Dustin Randolph was last updated on March 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.