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RANDALL R BACON LPC
NPI 1265577613
Counselor - Professional in Kirksville, MO

Active since February 21, 2007
1101 JAMISON ST, KIRKSVILLE, MO 63501(660) 665-1962 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Randall R Bacon Lpc NPPES

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

RANDALL R BACON LPC (NPI 1265577613) is an individual professional provider in Kirksville, Missouri, licensed in Missouri (2001025449) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1265577613
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameRANDALL R BACONCredential: LPC
Location Address1101 JAMISON STKirksville, MO 63501-3943
Mailing Address900 E Laharpe StKirksville, MO 63501-4520 · (660) 665-1962
Phone(660) 665-1962
Sole ProprietorNo
Enumeration DateFebruary 21, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1265577613 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 MO · 2001025449
1101 JAMISON ST, Kirksville, MO 63501
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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.

HEIDI B HENDERSON RN
Registered Nurse
1101 JAMISON ST
KIRKSVILLE, MO 63501
Adair County (660) 665-1962
KELLI SCHAFFER
Licensed Practical Nurse
1101 JAMISON ST
KIRKSVILLE, MO 63501
Adair County (660) 665-1962
ERIC D BRAATEN RASAC I
Counselor (Addiction (Substance Use Disorder))
1101 JAMISON ST
KIRKSVILLE, MO 63501
Adair County (660) 665-1962
TRACY FRANCIS
Social Worker (Clinical)
1101 JAMISON ST
KIRKSVILLE, MO 63501
Adair County (660) 665-1962
KRYSTEN JOLYNN JARMAN
Counselor (Professional)
1101 JAMISON ST
KIRKSVILLE, MO 63501
Adair County (660) 474-0267
PREFERRED FAMILY HEALTHCARE, INC.
Community/Behavioral Health
1101 JAMISON ST
KIRKSVILLE, MO 63501
Adair County (660) 665-1962
MCKENZIE GUNTER
Behavior Analyst
1101 JAMISON ST
KIRKSVILLE, MO 63501
Adair County (660) 665-1962
KOURTNEY BUCKALLEW
Counselor
1101 JAMISON ST
KIRKSVILLE, MO 63501
Adair County (660) 665-1962

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 Randall Bacon's NPI number?

The NPI number for Randall Bacon is 1265577613. It was assigned to this individual provider in the NPPES registry on February 21, 2007.

Where is Randall Bacon located?

Randall Bacon practices at 1101 Jamison St, Kirksville, MO 63501. The listed phone number is (660) 665-1962.

What is Randall Bacon's specialty?

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

When was this NPI record last updated?

The NPPES record for Randall Bacon was last updated on July 8, 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.