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MANDY RANDALL LPC, LCDC
NPI 1316523749
Counselor - Professional in San Antonio, TX

Active since March 24, 2021PECOS EnrolledAccepts Medicare Assignment
18018 OVERLOOK LOOP, SUITE 105, PMB 1029, SAN ANTONIO, TX 78259(210) 595-9158(844) 832-4701 Get Directions Write a Review

NPPES record last updated: January 21, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 14, 2021, Mar 24, 2021 (2 updates tracked since 2021).

About Mandy Randall Lpc, Lcdc NPPES

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

MANDY RANDALL LPC, LCDC (NPI 1316523749) is an individual professional provider in San Antonio, Texas, licensed in Texas (79060) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1316523749
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMANDY RANDALLCredential: LPC, LCDC
Location Address18018 OVERLOOK LOOP, SUITE 105, PMB 1029San Antonio, TX 78259-1883
Mailing Address18018 Overlook Loop, Suite 105, Pmb 1029San Antonio, TX 78259 · (210) 595-9158 · Fax (844) 832-4701
Phone(210) 595-9158
Fax(844) 832-4701
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 24, 2021
Last NPPES UpdateJanuary 21, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 21, 2025
✔ NPI 1316523749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in TX · 79060
Also ListedCounselorTaxonomy 101Y00000X · License 79060 (TX)
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 15052 (TX)
18018 OVERLOOK LOOP, San Antonio, TX 78259
Open in Google Maps ↗

Other Names 1

Former Name (1)Mandy Marin

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Community First, Imperial Insurance Companies, Inc. and more.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

Mandy Randall Lpc, Lcdc 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 ID6800320979
PECOS Enrollment IDI20241112002049
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 Reassignments

2

Medicare enrollment records show Mandy Randall reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wild Courage Counseling, PLLC
1.8 mi
Adult Mental Health
3803 LENTEN ROSE
San Antonio, TX 78259
  • Reassigned Medicare billing, Texas enrollment
NPI 1033076690 (504) 321-4183
Endeavors Health Services Board
12 mi
Specialist
6333 DE ZAVALA RD # A421
San Antonio, TX 78249
  • Reassigned Medicare billing, Texas enrollment
  • 17 clinicians in this Medicare group
NPI 1457038721 (210) 866-3660

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Mandy Randall's NPI number?

The NPI number for Mandy Randall is 1316523749. It was assigned to this individual provider in the NPPES registry on March 24, 2021. The provider is also known as Mandy Marin.

Where is Mandy Randall located?

Mandy Randall practices at 18018 Overlook Loop Suite 105, Pmb 1029, San Antonio, TX 78259. The listed phone number is (210) 595-9158.

What is Mandy Randall's specialty?

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

Is Mandy Randall enrolled in Medicare?

Yes. Mandy Randall 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 organizations bill Medicare for Mandy Randall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mandy Randall reassigns Medicare benefits to 2 organizations: Wild Courage Counseling, PLLC (San Antonio, TX) and Endeavors Health Services Board (San Antonio, TX). Each 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 Mandy Randall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mandy Randall accept?

Health plans from Blue Cross and Blue Shield of Texas, Community First, Imperial Insurance Companies, Inc., Oscar Insurance Company and UnitedHealthcare list Mandy 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 Mandy Randall was last updated on January 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.