DR. MARQUE E RANDALL PHD
NPI 1457371189
Psychologist - Counseling in Logan, UT

Active since July 19, 2006Opted out of Medicare · through Apr 1, 2028
1300 N 200 E, STE 114-A, LOGAN, UT 84341(435) 753-2687 Get Directions Write a Review

NPPES record last updated: August 31, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Marque E Randall Phd NPPES

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

DR. MARQUE E RANDALL PHD (NPI 1457371189) is an individual counseling provider in Logan, Utah, licensed in Utah (52285242501) and active in the NPI registry since July 2006. He has opted out of Medicare through April 1, 2028.

NPPES Registry Identity

NPI1457371189
Entity TypeIndividualMale
Primary Taxonomy103TC1900X
Provider Legal NameDR. MARQUE E RANDALLCredential: PHD
Location Address1300 N 200 E, STE 114-ALogan, UT 84341-2398
Mailing Address1300 N 200 E, Ste 114-aLogan, UT 84341-2398 · (435) 753-2687
Sole ProprietorYes
Enumeration DateJuly 19, 2006
Last NPPES UpdateAugust 31, 2007
NPI 1457371189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · CounselingBehavioral Health & Social Service Providers
Taxonomy Code103TC1900X
License Licensed in UT · 52285242501
Definition
A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.
1300 N 200 E, Logan, UT 84341

Other Identifiers 4

Other85006UT · Pehp
Other885077UT · Dmba
Other107019240103UT · Ihc
Other52285242501001UT · Bcbs

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Marque E Randall Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2022 through April 1, 2028.

Opt-Out Effective DateApril 1, 2022
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 6

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

Community/Behavioral Health
1300 N 200 E, SUITE 104
LOGAN, UT 84341
Chiropractor
1300 N 200 E, SUITE #110
LOGAN, UT 84341
Dentist (Pediatric Dentistry)
1300 N 200 E, SUITE102
LOGAN, UT 84341
Optometrist
1300 N 200 E, SUITE 104
LOGAN, UT 84341
Durable Medical Equipment & Medical Supplies
1300 N 200 E, SUITE 106
LOGAN, UT 84341
Dentist (Pediatric Dentistry)
1300 N 200 E, SUITE 102
LOGAN, UT 84341

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 Marque Randall's NPI number?

The NPI number for Marque Randall is 1457371189. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Marque Randall located?

Marque Randall practices at 1300 N 200 E Ste 114-A, Logan, UT 84341. The listed phone number is (435) 753-2687.

What is Marque Randall's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Counseling, with taxonomy code 103TC1900X.

Is Marque Randall enrolled in Medicare?

No. Marque Randall has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Marque Randall was last updated on August 31, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.