MR. JAMES OLIVER RANDALL
NPI 1316562697
Counselor in Bellevue, WA

Q: What is James Randall's NPI number?

The NPI number for James Randall is 1316562697. It was assigned to this individual provider in the NPPES registry on June 11, 2020.

Q: What is James Randall's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for James Randall was last updated on June 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since June 11, 2020PECOS Enrolled

1412 140TH PL NE, BELLEVUE, WA 98007(425) 747-7892 Get Directions Write a Review

NPPES record last updated: June 11, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. James Oliver Randall NPPES

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

MR. JAMES OLIVER RANDALL (NPI 1316562697) is an individual counselor in Bellevue, Washington and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1316562697

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameMR. JAMES OLIVER RANDALL

Location Address1412 140TH PL NEBellevue, WA 98007-3915

Mailing Address16351 Ne 13th Pl Apt A103Bellevue, WA 98008-3695 · (425) 761-0142

Phone(425) 747-7892

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateJune 11, 2020

NPPES CertifiedJune 11, 2020

✔ NPI 1316562697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

1412 140TH PL NE, Bellevue, WA 98007

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. James Oliver Randall is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2062983240

PECOS Enrollment IDI20260609001081

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.

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.

NATALIA I MESHKOVA

Counselor (Addiction (Substance Use Disorder))