THERESA L RANDICH BA MHP
NPI 1427453760
Counselor - Professional in Winfield, IL

Q: What is Theresa Randich's NPI number?

The NPI number for Theresa Randich is 1427453760. It was assigned to this individual provider in the NPPES registry on October 29, 2014.

Q: What is Theresa Randich'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 Theresa Randich was last updated on September 12, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 29, 2014PECOS EnrolledAccepts Medicare Assignment

28W671 GARYS MILL RD, WINFIELD, IL 60190(630) 293-9860(630) 293-9861 Get Directions Write a Review

NPPES record last updated: September 12, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 12, 2022, Feb 10, 2022, Feb 18, 2020 and 1 more (4 updates tracked since 2018).

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About Theresa L Randich Ba Mhp NPPES

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

THERESA L RANDICH BA MHP (NPI 1427453760) is an individual professional provider in Winfield, Illinois, licensed in Illinois (180.011783) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1427453760

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameTHERESA L RANDICHCredential: BA MHP

Location Address28W671 GARYS MILL RDWinfield, IL 60190-1564

Mailing Address28w671 Garys Mill RdWinfield, IL 60190-1564 · (630) 293-9860 · Fax (630) 293-9861

Phone(630) 293-9860

Fax(630) 293-9861

Sole ProprietorYes

Medical School CMSOtherGraduated 2016

Enumeration DateOctober 29, 2014

Last NPPES UpdateSeptember 12, 20224 updates tracked since enumeration

NPPES CertifiedSeptember 12, 2022

✔ NPI 1427453760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in IL · 180.011783

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

28W671 GARYS MILL RD, Winfield, IL 60190

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Secondary Practice Locations 2

Location 1111 N County Farm RdWheaton, IL 60187-3977 · Phone (630) 682-7400

Location 23933 75th St Ste 102Aurora, IL 60504-8015 · Phone (630) 293-9860 · Fax (630) 293-9861

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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

Theresa L Randich Ba Mhp 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 ID9335676709

PECOS Enrollment IDI20241224000690

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 18

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

MIRIAM A MENDOZA

Student in an Organized Health Care Education/Training Program