RANDALL J GOODFRIEND
NPI 1467646760
Counselor - Professional in Superior, AZ

Active since August 29, 2007PECOS Enrolled
400 S MAIN, SUPERIOR, AZ 85273(480) 288-5328(480) 288-5339 Get Directions Write a Review

NPPES record last updated: August 29, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Randall J Goodfriend NPPES

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

RANDALL J GOODFRIEND (NPI 1467646760) is an individual professional provider in Superior, Arizona, licensed in Arizona (LPC-2392) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467646760
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameRANDALL J GOODFRIEND
Location Address400 S MAINSuperior, AZ 85273-0004
Mailing AddressPo Box 3160Apache Junction, AZ 85217-3160 · (480) 288-5328 · Fax (480) 288-5339
Fax(480) 288-5339
Sole ProprietorNo
Enumeration DateAugust 29, 2007
✔ NPI 1467646760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in AZ · LPC-2392
400 S MAIN, Superior, AZ 85273

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Randall J Goodfriend 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.

Medicare Billing Reassignment

Medicare enrollment records show Randall Goodfriend reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
19251 E OASIS DR
Black Canyon City, AZ 85324
  • Reassigned Medicare billing, Arizona enrollment
  • 3 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

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

Social Worker (Clinical)
400 S MAIN
SUPERIOR, AZ 85273

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 Goodfriend's NPI number?

The NPI number for Randall Goodfriend is 1467646760. It was assigned to this individual provider in the NPPES registry on August 29, 2007.

Where is Randall Goodfriend located?

Randall Goodfriend practices at 400 S Main, Superior, AZ 85273. The listed phone number is (480) 288-5328.

What is Randall Goodfriend's specialty?

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

Is Randall Goodfriend enrolled in Medicare?

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

Which organization bills Medicare for Randall Goodfriend's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Randall Goodfriend reassigns Medicare benefits to Black Canyon Community Health Center, Inc. (Black Canyon City, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Randall Goodfriend's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Randall Goodfriend accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc and UnitedHealthcare list Randall Goodfriend 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 Goodfriend was last updated on August 29, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.