KAEGHAN W RANDOLPH
NPI 1447745120
Counselor - Professional in Canton, OH

Active since June 26, 2018PECOS EnrolledAccepts Medicare Assignment
624 MARKET AVE N, CANTON, OH 44702(330) 493-4553(330) 493-3761 Get Directions Write a Review

NPPES record last updated: May 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kaeghan W Randolph NPPES

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

KAEGHAN W RANDOLPH (NPI 1447745120) is an individual professional provider in Canton, Ohio, licensed in Ohio (E2202756) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1447745120
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameKAEGHAN W RANDOLPH
Location Address624 MARKET AVE NCanton, OH 44702-1017
Mailing Address624 Market Ave NCanton, OH 44702-1017 · (330) 493-4553 · Fax (330) 493-3761
Fax(330) 493-3761
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 26, 2018
Last NPPES UpdateMay 28, 2024
NPPES CertifiedMay 28, 2024
NPI 1447745120 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 OH · E2202756
Also ListedCounselorTaxonomy 101Y00000X
624 MARKET AVE N, Canton, OH 44702

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

Kaeghan W Randolph 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 ID7012454093
PECOS Enrollment IDI20240808001008
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.

Peer Specialist
624 MARKET AVE N
CANTON, OH 44702
Counselor
624 MARKET AVE N
CANTON, OH 44702
Case Manager/Care Coordinator
624 MARKET AVE N
CANTON, OH 44702
Peer Specialist
624 MARKET AVE N
CANTON, OH 44702
Social Worker (Clinical)
624 MARKET AVE N
CANTON, OH 44702
Counselor (Mental Health)
624 MARKET AVE N
CANTON, OH 44702
Social Worker
624 MARKET AVE N
CANTON, OH 44702
Social Worker (Clinical)
624 MARKET AVE N
CANTON, OH 44702

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 Kaeghan Randolph's NPI number?

The NPI number for Kaeghan Randolph is 1447745120. It was assigned to this individual provider in the NPPES registry on June 26, 2018.

Where is Kaeghan Randolph located?

Kaeghan Randolph practices at 624 Market Ave N, Canton, OH 44702. The listed phone number is (330) 493-4553.

What is Kaeghan Randolph's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Kaeghan Randolph enrolled in Medicare?

Yes. Kaeghan Randolph 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 Kaeghan Randolph accept?

Health plans from MedMutual, Molina Healthcare and SummaCare list Kaeghan Randolph 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 Kaeghan Randolph was last updated on May 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.