MR. CURTIS GLEN RANDOLPH LPC
NPI 1184819781
Counselor - Professional in Flagstaff, AZ

Active since September 07, 2007PECOS EnrolledAccepts Medicare Assignment
2187 N VICKEY ST, FLAGSTAFF, AZ 86004(928) 714-6449 Get Directions Write a Review

NPPES record last updated: September 7, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mr. Curtis Glen Randolph Lpc NPPES

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

MR. CURTIS GLEN RANDOLPH LPC (NPI 1184819781) is an individual professional provider in Flagstaff, Arizona, licensed in Arizona (LPC-2058) and active in the NPI registry since September 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1993).

NPPES Registry Identity

NPI1184819781
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. CURTIS GLEN RANDOLPHCredential: LPC
Location Address2187 N VICKEY STFlagstaff, AZ 86004-6106
Mailing Address2187 N Vickey StFlagstaff, AZ 86004-6106 · (928) 714-6449
Sole ProprietorYes
Medical School CMSOtherGraduated 1993
Enumeration DateSeptember 7, 2007
✔ NPI 1184819781 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 AZ · LPC-2058
2187 N VICKEY ST, Flagstaff, AZ 86004

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. Curtis Glen 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.

PECOS PAC ID42712739
PECOS Enrollment IDI20250903002033
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.

Medicare Billing Reassignment

Medicare enrollment records show Curtis Randolph reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
1500 E CEDAR AVE, STE 26
Flagstaff, AZ 86004
  • Reassigned Medicare billing, Arizona enrollment
  • 22 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 20

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

Psychiatry & Neurology (Psychiatry)
2187 N VICKEY ST
FLAGSTAFF, AZ 86004
Registered Nurse (Psychiatric/Mental Health)
2187 N VICKEY ST
FLAGSTAFF, AZ 86004
Nurse Practitioner (Psychiatric/Mental Health)
2187 N VICKEY ST
FLAGSTAFF, AZ 86004
Counselor (Addiction (Substance Use Disorder))
2187 N VICKEY ST
FLAGSTAFF, AZ 86004
Social Worker (Clinical)
2187 N VICKEY ST
FLAGSTAFF, AZ 86004
Social Worker
2187 N VICKEY ST
FLAGSTAFF, AZ 86004
Pharmacy (Long Term Care Pharmacy)
2187 N VICKEY ST
FLAGSTAFF, AZ 86004
Social Worker (Clinical)
2187 N VICKEY ST
FLAGSTAFF, AZ 86004

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 Curtis Randolph's NPI number?

The NPI number for Curtis Randolph is 1184819781. It was assigned to this individual provider in the NPPES registry on September 7, 2007.

Where is Curtis Randolph located?

Curtis Randolph practices at 2187 N Vickey St, Flagstaff, AZ 86004. The listed phone number is (928) 714-6449.

What is Curtis Randolph's specialty?

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

Is Curtis Randolph enrolled in Medicare?

Yes. Curtis 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 Curtis Randolph's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Curtis Randolph reassigns Medicare benefits to Native Americans For Community Action, Inc (Flagstaff, AZ). 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 Curtis Randolph's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Curtis Randolph accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc and UnitedHealthcare list Curtis 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 Curtis Randolph was last updated on September 7, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.