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NICHOLAS MICHAEL RANDALL
NPI 1366090540
Peer Specialist in Orchard Park, NY

Active since August 30, 2019
3176 ABBOTT RD STE 500, ORCHARD PARK, NY 14127(716) 822-2177(716) 822-8165 Get Directions Write a Review

NPPES record last updated: August 30, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicholas Michael Randall NPPES

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

NICHOLAS MICHAEL RANDALL (NPI 1366090540) is an individual peer specialist in Orchard Park, New York and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1366090540
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameNICHOLAS MICHAEL RANDALL
Location Address3176 ABBOTT RD STE 500Orchard Park, NY 14127-1069
Mailing Address3176 Abbott Rd Ste 500Orchard Park, NY 14127-1069 · (716) 822-2177 · Fax (716) 822-8165
Phone(716) 822-2177
Fax(716) 822-8165
Sole ProprietorNo
Enumeration DateAugust 30, 2019
✔ NPI 1366090540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
3176 ABBOTT RD STE 500, Orchard Park, NY 14127
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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.

MR. CHRISTOPHER J TREACY
Peer Specialist
3176 ABBOTT RD STE 500
ORCHARD PARK, NY 14127
Erie County (716) 822-2177
ALEXANDER JAMES LISINSKI
Social Worker
3176 ABBOTT RD STE 500
ORCHARD PARK, NY 14127
Erie County (716) 822-2177
T'ASHA D'ANGELIQUE OVERTON
Counselor
3176 ABBOTT RD STE 500
ORCHARD PARK, NY 14127
Erie County (716) 822-2117
CHRISTOPHER JAMES WARDEN
Peer Specialist
3176 ABBOTT RD STE 500
ORCHARD PARK, NY 14127
Erie County (716) 822-2177
LEANNE JEAN KAY
Counselor (Addiction (Substance Use Disorder))
3176 ABBOTT RD STE 500
ORCHARD PARK, NY 14127
Erie County (716) 822-2117
ALYSSA MCKEEVER LMHC
Counselor
3176 ABBOTT RD STE 500
ORCHARD PARK, NY 14127
Erie County (716) 560-0904
JENNIFER ELIZABETH REEVES MHC
Counselor
3176 ABBOTT RD STE 500
ORCHARD PARK, NY 14127
Erie County (716) 822-2177
REBECCA LEIGH KINNIN MHCP
Counselor
3176 ABBOTT RD STE 500
ORCHARD PARK, NY 14127
Erie County (716) 822-2117

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 Nicholas Randall's NPI number?

The NPI number for Nicholas Randall is 1366090540. It was assigned to this individual provider in the NPPES registry on August 30, 2019.

Where is Nicholas Randall located?

Nicholas Randall practices at 3176 Abbott Rd Ste 500, Orchard Park, NY 14127. The listed phone number is (716) 822-2177.

What is Nicholas Randall's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Nicholas Randall was last updated on August 30, 2019. 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.