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MR. RANDALL LYLE KERR MFTI, CAS II
NPI 1457459877
Counselor - Addiction (Substance Use Disorder) in Colton, CA

Active since September 20, 2006PECOS Enrolled
1330 E COOLEY DR, COLTON, CA 92324(909) 423-0750 Get Directions Write a Review

NPPES record last updated: October 15, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Randall Lyle Kerr Mfti, Cas Ii NPPES

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

MR. RANDALL LYLE KERR MFTI, CAS II (NPI 1457459877) is an individual addiction (substance use disorder) provider in Colton, California, licensed in California (CAS II # 03-001350) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457459877
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. RANDALL LYLE KERRCredential: MFTI, CAS II
Location Address1330 E COOLEY DRColton, CA 92324-3905
Mailing Address1330 E Cooley DrColton, CA 92324-3905 · (909) 423-0750
Phone(909) 423-0750
Sole ProprietorNo
Enumeration DateSeptember 20, 2006
Last NPPES UpdateOctober 15, 2008
✔ NPI 1457459877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · CAS II # 03-001350
1330 E COOLEY DR, Colton, CA 92324
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Randall Lyle Kerr Mfti, Cas Ii is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

MS. JUDITH A TATE LSW
Counselor
1330 E COOLEY DR
COLTON, CA 92324
San Bernardino County (909) 580-3705
MRS. LORI LYNN DAVIS OT
Occupational Therapist
1330 E COOLEY DR
COLTON, CA 92324
San Bernardino County (909) 423-0750
MONICA MEJIA
Community Health Worker
1330 E COOLEY DR
COLTON, CA 92324
San Bernardino County (909) 423-0750
BRANDON TY TREADWELL BACHELOR'S DEGREE
Day Training/Habilitation Specialist
1330 E COOLEY DR
COLTON, CA 92324
San Bernardino County (909) 580-3731
EVELYN UGONNA EJINAKA RN
Registered Nurse
1330 E COOLEY DR
COLTON, CA 92324
San Bernardino County (909) 458-1350
KENDRICK WAYNE LOGAN
Rehabilitation Practitioner
1330 E COOLEY DR
COLTON, CA 92324
San Bernardino County (909) 580-3734
ESMERALDA CERVANTES CROTEAU
Day Training/Habilitation Specialist
1330 E COOLEY DR
COLTON, CA 92324
San Bernardino County (909) 580-3705
SHANEECE WILLIAMS
Case Manager/Care Coordinator
1330 E COOLEY DR
COLTON, CA 92324
San Bernardino County (909) 580-3705

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 Kerr's NPI number?

The NPI number for Randall Kerr is 1457459877. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Randall Kerr located?

Randall Kerr practices at 1330 E Cooley Dr, Colton, CA 92324. The listed phone number is (909) 423-0750.

What is Randall Kerr's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Randall Kerr enrolled in Medicare?

Yes. Randall Kerr is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Randall Kerr was last updated on October 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.