JOHN WESLEY RANDALL
NPI 1326882853
Counselor - Professional in Beaumont, TX

Active since June 20, 2024PECOS EnrolledAccepts Medicare Assignment
4749 ODOM RD, BEAUMONT, TX 77706(409) 220-2220 Get Directions Write a Review

NPPES record last updated: June 20, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About John Wesley Randall NPPES

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

JOHN WESLEY RANDALL (NPI 1326882853) is an individual professional provider in Beaumont, Texas, licensed in Texas (94078) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS, maintains a secondary practice location in Lumberton, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1326882853
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJOHN WESLEY RANDALL
Location Address4749 ODOM RDBeaumont, TX 77706-7080
Mailing Address4749 Odom RdBeaumont, TX 77706-7080 · (409) 200-2220
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateJune 20, 2024
NPPES CertifiedApril 25, 2024
✔ NPI 1326882853 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 TX · 94078
4749 ODOM RD, Beaumont, TX 77706

Secondary Practice Location 1

Location 1105 Canyon Lake CirLumberton, TX 77657-3701 · Phone (409) 200-2220

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

John Wesley Randall 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 ID3577053990
PECOS Enrollment IDI20251105000948
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 John Randall reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Professional
105 CANYON LAKE CIR
Lumberton, TX 77657
  • Reassigned Medicare billing, Texas enrollment
  • 27 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 16

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

Counselor (Mental Health)
4749 ODOM RD
BEAUMONT, TX 77706
Marriage & Family Therapist
4749 ODOM RD
BEAUMONT, TX 77706
Counselor (Professional)
4749 ODOM RD
BEAUMONT, TX 77706
Counselor (Professional)
4749 ODOM RD
BEAUMONT, TX 77706
Counselor (Professional)
4749 ODOM RD
BEAUMONT, TX 77706
Counselor (Mental Health)
4749 ODOM RD
BEAUMONT, TX 77706
Counselor (Professional)
4749 ODOM RD
BEAUMONT, TX 77706
Counselor (Professional)
4749 ODOM RD
BEAUMONT, TX 77706

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 John Randall's NPI number?

The NPI number for John Randall is 1326882853. It was assigned to this individual provider in the NPPES registry on June 20, 2024.

Where is John Randall located?

John Randall practices at 4749 Odom Rd, Beaumont, TX 77706. The listed phone number is (409) 220-2220.

What is John Randall's specialty?

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

Is John Randall enrolled in Medicare?

Yes. John 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 organization bills Medicare for John Randall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Randall reassigns Medicare benefits to Newpath Group (Lumberton, TX). 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 John Randall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Randall accept?

Health plans from Blue Cross and Blue Shield of Texas, UnitedHealthcare and WellPoint list John 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 John Randall was last updated on June 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.