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TEDDY RANDALL
NPI 1225484389
Marriage & Family Therapist in Panama City, FL

Active since May 09, 2016Opted out of Medicare · through Jun 17, 2028
2711 W 15TH ST, PANAMA CITY, FL 32401(850) 769-6001 Get Directions Write a Review

NPPES record last updated: May 9, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Teddy Randall NPPES

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

TEDDY RANDALL (NPI 1225484389) is an individual marriage & family therapist in Panama City, Florida and active in the NPI registry since May 2016. He has opted out of Medicare through June 17, 2028.

NPPES Registry Identity

NPI1225484389
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameTEDDY RANDALL
Location Address2711 W 15TH STPanama City, FL 32401-1366
Mailing Address16 Pebble Beach DrShalimar, FL 32579-1624
Phone(850) 769-6001
Sole ProprietorNo
Enumeration DateMay 9, 2016
✔ NPI 1225484389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
2711 W 15TH ST, Panama City, FL 32401
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Other Names 1

Other Name (5)Ted Randall

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Teddy Randall has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 17, 2024 through June 17, 2028.

Opt-Out Effective DateJune 17, 2024
Opt-Out In Effect ThroughJune 17, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

MR. TREVOR DEAN BAINES LCSW
Social Worker (Clinical)
2711 W 15TH ST
PANAMA CITY, FL 32401
Bay County (850) 769-6001
ANITA LOSOYA-EVON M.S.
Counselor (Mental Health)
2711 W 15TH ST
PANAMA CITY, FL 32401
Bay County (850) 769-6001
SAKEENA POWE M.S
Counselor (Mental Health)
2711 W 15TH ST
PANAMA CITY, FL 32401
Bay County (850) 769-6001
SAMANTHA ASHLEY MORRISON MS
Counselor
2711 W 15TH ST
PANAMA CITY, FL 32401
Bay County (850) 769-6001
KELLY BENNETT
Counselor (Mental Health)
2711 W 15TH ST
PANAMA CITY, FL 32401
Bay County (850) 769-6001
MR. FRANKLIN D. GRAHAM
Counselor (Mental Health)
2711 W 15TH ST
PANAMA CITY, FL 32401
Bay County (850) 326-0090
KRISTYN ROBINSON
Social Worker
2711 W 15TH ST
PANAMA CITY, FL 32401
Bay County (850) 769-6001
FLORIDA THERAPY SERVICES
Clinic/Center (Mental Health (Including Community Mental Health Center))
2711 W 15TH ST
PANAMA CITY, FL 32401
Bay County (850) 769-6001

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 Teddy Randall's NPI number?

The NPI number for Teddy Randall is 1225484389. It was assigned to this individual provider in the NPPES registry on May 9, 2016. The provider is also known as Ted Randall.

Where is Teddy Randall located?

Teddy Randall practices at 2711 W 15th St, Panama City, FL 32401. The listed phone number is (850) 769-6001.

What is Teddy Randall's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Teddy Randall enrolled in Medicare?

No. Teddy Randall has opted out of Medicare through June 17, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Teddy Randall accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Teddy Randall 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 Teddy Randall was last updated on May 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.