MR. JOHN M. RANDALL
NPI 1386076297
Counselor - Mental Health in Watertown, NY
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
Specialties & Licenses
Secondary Practice Location 1
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
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.
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.
Malone, NY 12953
- Reassigned Medicare billing, New York enrollment
- 61 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
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 Citizen Advocates, Inc (Malone, NY). 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 Oscar Health 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 July 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Mr. John M. Randall · NPI 1386076297
Mental Health provider in Watertown, New York. Individual provider, active in the CMS NPPES registry since August 1, 2013.
## Identity
- **NPI:** 1386076297 (Entity type: Individual)
- **Enumerated:** August 1, 2013
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 007553 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 650 STATE ST, Watertown, NY 13601-2839
- **Phone:** (315) 755-1251 · **Fax:** (315) 291-6601
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Citizen Advocates, Inc (NPI 1780619064, Malone, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** July 1, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1386076297) · Data from the CMS NPPES public registry.