RANDALL EDWARD SURQUE LPC
NPI 1447726146
Counselor in Jackson, MI

Active since October 19, 2018PECOS EnrolledAccepts Medicare Assignment
1200 N WEST AVE, JACKSON, MI 49202(517) 789-1200(517) 789-1276 Get Directions Write a Review

NPPES record last updated: October 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1447726146
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameRANDALL EDWARD SURQUECredential: LPC
Location Address1200 N WEST AVEJackson, MI 49202-2179
Mailing Address1200 N West AveJackson, MI 49202-2179 · (517) 789-1200 · Fax (517) 789-1276
Fax(517) 789-1276
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateOctober 19, 2018
Last NPPES UpdateOctober 30, 2024
NPPES CertifiedOctober 30, 2024
NPI 1447726146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License Licensed in MI · 6401016161
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
1200 N WEST AVE, Jackson, MI 49202

Other Identifiers 1

Other6401016161MI · State License

Accepted 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

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.

PECOS PAC ID6305380445
PECOS Enrollment IDI20240701002120
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
1200 N WEST AVE, SUITE 400
JACKSON, MI 49202
Counselor (Mental Health)
1200 N WEST AVE
JACKSON, MI 49202
Social Worker
1200 N WEST AVE, SUITE 600
JACKSON, MI 49202
Counselor (Mental Health)
1200 N WEST AVE, SUITE 400
JACKSON, MI 49202
Dietitian, Registered
1200 N WEST AVE, SUITE 300
JACKSON, MI 49202
Counselor (Mental Health)
1200 N WEST AVE, SUITE 400
JACKSON, MI 49202
Case Manager/Care Coordinator
1200 N WEST AVE
JACKSON, MI 49202
Registered Nurse
1200 N WEST AVE
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.

What insurance does Randall Surque accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Oscar Insurance Company and Priority Health 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 21 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.