MR. DUSTIN ALLEN RANDOLPH LPC
NPI 1174161897
Counselor - Professional in Hoover, AL
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 and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
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
Mr. Dustin Allen Randolph 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 Dustin Randolph reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Madison, AL 35758
- Reassigned Medicare billing, Alabama enrollment
- 118 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.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HOOVER, AL 35244
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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Dustin Randolph's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dustin Randolph reassigns Medicare benefits to Integrated Behavioral Health, Inc. (Madison, AL). 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 Dustin Randolph's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Dustin Randolph accept?
Health plans from Blue Cross and Blue Shield of Alabama and UnitedHealthcare list Dustin Randolph 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 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 6 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.
# Mr. Dustin Allen Randolph, LPC · NPI 1174161897
Professional provider in Hoover, Alabama. Individual provider, active in the CMS NPPES registry since December 12, 2019.
## Identity
- **NPI:** 1174161897 (Entity type: Individual)
- **Enumerated:** December 12, 2019
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** LPC05854 (Alabama)
- **Sole proprietor:** No
## Practice location
- **Address:** 265 RIVERCHASE PKWY E STE 108, Hoover, AL 35244-2815
- **Phone:** (205) 982-3586
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Integrated Behavioral Health, Inc. (NPI 1730522699, Madison, AL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** March 31, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1174161897) · Data from the CMS NPPES public registry.