MR. JOHN M. RANDALL
NPI 1386076297
Counselor - Mental Health in Watertown, NY

Active since August 01, 2013PECOS EnrolledAccepts Medicare Assignment
650 STATE ST, WATERTOWN, NY 13601(315) 755-1251(315) 291-6601 Get Directions Write a Review

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. John M. Randall NPPES

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

MR. JOHN M. RANDALL (NPI 1386076297) is an individual mental health provider in Watertown, New York, licensed in New York (007553) and active in the NPI registry since August 2013. He is enrolled in Medicare PECOS, maintains a secondary practice location in Oswego, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1386076297
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. JOHN M. RANDALL
Location Address650 STATE STWatertown, NY 13601-2839
Mailing Address335 W 1st StOswego, NY 13126-3655
Fax(315) 291-6601
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateAugust 1, 2013
Last NPPES UpdateJuly 1, 2025
NPPES CertifiedJuly 1, 2025
NPI 1386076297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in NY · 007553
650 STATE ST, Watertown, NY 13601

Secondary Practice Location 1

Location 1335 W 1st StOswego, NY 13126-3655 · Phone (315) 343-2243

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. John M. 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 ID9032623442
PECOS Enrollment IDI20250708003780
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.

Social Worker
650 STATE ST
WATERTOWN, NY 13601
Registered Nurse
650 STATE ST
WATERTOWN, NY 13601
Licensed Practical Nurse
650 STATE ST
WATERTOWN, NY 13601
Registered Nurse
650 STATE ST
WATERTOWN, NY 13601
Student in an Organized Health Care Education/Training Program
650 STATE ST
WATERTOWN, NY 13601
Counselor (Mental Health)
650 STATE ST
WATERTOWN, NY 13601
Peer Specialist
650 STATE ST
WATERTOWN, NY 13601
Case Manager/Care Coordinator
650 STATE ST
WATERTOWN, NY 13601

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 1386076297. It was assigned to this individual provider in the NPPES registry on August 1, 2013.

Where is John Randall located?

John Randall practices at 650 State St, Watertown, NY 13601. The listed phone number is (315) 755-1251.

What is John Randall's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

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.

When was this NPI record last updated?

The NPPES record for John Randall was last updated on July 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.