MR. RANDOLPH LEE HART MSW, LCSW
NPI 1497803027
Social Worker - Clinical in Eugene, OR

Q: What is Randolph Hart's NPI number?

The NPI number for Randolph Hart is 1497803027. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Q: What is Randolph Hart's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Randolph Hart was last updated on March 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since January 08, 2007PECOS Enrolled

66 CLUB RD STE 120, EUGENE, OR 97401(541) 393-5983(541) 393-5984 Get Directions Write a Review

NPPES record last updated: March 13, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 13, 2023, Aug 20, 2020 (2 updates tracked since 2020).

On this page

About Mr. Randolph Lee Hart Msw, Lcsw NPPES

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

MR. RANDOLPH LEE HART MSW, LCSW (NPI 1497803027) is an individual clinical provider in Eugene, Oregon, licensed in Oregon (6277) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and maintains a secondary practice location in Madras.

NPPES Registry Identity

NPI1497803027

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameMR. RANDOLPH LEE HARTCredential: MSW, LCSW

Location Address66 CLUB RD STE 120Eugene, OR 97401-2439

Mailing Address66 Club Rd Ste 120Eugene, OR 97401-2439 · (541) 393-5983 · Fax (541) 393-5984

Phone(541) 393-5983

Fax(541) 393-5984

Sole ProprietorNo

Enumeration DateJanuary 8, 2007

Last NPPES UpdateMarch 13, 20232 updates tracked since enumeration

NPPES CertifiedMarch 13, 2023

✔ NPI 1497803027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in OR · 6277

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 02R07 (OR)

66 CLUB RD STE 120, Eugene, OR 97401

Open in Google Maps ↗

Secondary Practice Location 1

Location 1236 SE D StMadras, OR 97741-1619 · Phone (541) 475-5300 · Fax (541) 475-5310

Other Identifiers 2

Medicaid210831OR

Medicaid500663524OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Randolph Lee Hart Msw, Lcsw 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 Randolph Hart reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Western Psychological And Counseling Services LLC

221 mi

Clinical

2420 S UNION AVE
Tacoma, WA 98405

Reassigned Medicare billing, Oregon enrollment
314 clinicians in this Medicare group

NPI 1912008178 (253) 752-7320

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.

113 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $54.96 – $166.64

Typical copayment $0.00 (range $13.74 – $41.66)

Most-billed visit code NA

Established Patient

$68.64 typical visit price

range $17.68 – $136.19

Typical copayment $17.16 (range $4.42 – $34.04)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

JOSE ANTONIO MORA SANTANA LPC

Counselor (Mental Health)