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

Q: 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.

Q: What is John Randall's specialty?

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

Q: 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.

Active since June 20, 2024PECOS Enrolled

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: August 30, 2026.

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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

Phone(409) 220-2220

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

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Secondary Practice Location 1

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John Wesley Randall is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

CHRISTAN NICOLE PIPES LPC

Counselor (Mental Health)