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

NPI Status: Active since July 19, 2006

Contact Information

1300 N 200 E
STE 114-A
LOGAN, UT
ZIP 84341
Phone: (435) 753-2687

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  • Individual
  • Male
  • Psychologist
  • Counseling
  • Opted-Out Medicare

About MARQUE RANDALL

This page provides the complete NPI Profile along with additional information for Marque Randall, a provider established in Logan, Utah with a medical specialization in Psychologist, focusing in counseling . The healthcare provider is registered in the NPI registry with number 1457371189 assigned on July 2006. The practitioner's primary taxonomy code is 103TC1900X with license number 52285242501 (UT). The provider is registered as an individual and his NPI record was last updated 19 years ago.

NPI
1457371189
Provider Name
DR. MARQUE E RANDALL PHD
Gender
Male
Entity Type
Individual
Location Address
1300 N 200 E STE 114-A LOGAN, UT 84341
Location Phone
(435) 753-2687
Mailing Address
1300 N 200 E STE 114-A LOGAN, UT 84341
Mailing Phone
(435) 753-2687
Is Sole Proprietor?
Yes
Enumeration Date
07-19-2006
Last Update Date
08-31-2007
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The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Marque Randall opted out of Medicare effective on 04-01-2022 until 04-01-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist Counseling

Taxonomy Code
103TC1900X
Type
Behavioral Health & Social Service Providers
License No.
52285242501
License State
UT
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
85006OTHER (01)UTPEHP
885077OTHER (01)UTDMBA
107019240103OTHER (01)UTIHC
52285242501001OTHER (01)UTBCBS

Medicare Participation & PECOS Enrollment Status

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 04-01-2022

  • Opt-Out End Date: 04-01-2026

  • Eligible to Order and Refer? No

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1457371189, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
7
Unchanged
Pos 5
3
Doubled → 6
Pos 6
7
Unchanged
Pos 7
1
Doubled → 2
Pos 8
1
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 3 → 6 1 → 2 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 0 + 7 + 6 + 7 + 2 + 1 + 1 + 6 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1457371189.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457371189, enumerated as an "individual" on July 19, 2006.

The provider is located at 1300 N 200 E STE 114-A LOGAN, UT 84341 and the phone number is (435) 753-2687.

Psychologist with taxonomy code 103TC1900X and a focus in Counseling.

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.