RANDALL EDWARD SURQUE LPC
NPI 1447726146
Counselor in Jackson, MI
About Randall Edward Surque Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RANDALL EDWARD SURQUE LPC (NPI 1447726146) is an individual counselor in Jackson, Michigan, licensed in Michigan (6401016161) and active in the NPI registry since October 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 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
Randall Edward Surque Lpc 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 Randall Surque reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Jackson, MI 49202
- Reassigned Medicare billing, Michigan enrollment
- 42 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.
JACKSON, MI 49202
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 Randall Surque's NPI number?
The NPI number for Randall Surque is 1447726146. It was assigned to this individual provider in the NPPES registry on October 19, 2018.
Where is Randall Surque located?
Randall Surque practices at 1200 N West Ave, Jackson, MI 49202. The listed phone number is (517) 789-1200.
What is Randall Surque's specialty?
The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.
Is Randall Surque enrolled in Medicare?
Yes. Randall Surque 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 Randall Surque's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Randall Surque reassigns Medicare benefits to Jackson-Hillsdale Community Mental Health Board (Jackson, MI). 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 Randall Surque's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Randall Surque accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Randall Surque 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 Randall Surque was last updated on October 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.
# Randall Edward Surque, LPC · NPI 1447726146
Counselor provider in Jackson, Michigan. Individual provider, active in the CMS NPPES registry since October 19, 2018.
## Identity
- **NPI:** 1447726146 (Entity type: Individual)
- **Enumerated:** October 19, 2018
- **Primary specialty:** Counselor · taxonomy 101Y00000X
- **State license:** 6401016161 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 1200 N WEST AVE, Jackson, MI 49202-2179
- **Phone:** (517) 789-1200 · **Fax:** (517) 789-1276
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Jackson-Hillsdale Community Mental Health Board (NPI 1063466274, Jackson, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** October 30, 2024
- **Other identifiers:** Other 6401016161 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1447726146) · Data from the CMS NPPES public registry.