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KANDYS RANDOLPH
NPI 1629644141
Counselor in Freehold, NJ

Active since June 03, 2021PECOS Enrolled
303 W MAIN ST STE 350, FREEHOLD, NJ 07728(732) 393-8391(732) 308-4500 Get Directions Write a Review

NPPES record last updated: June 3, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kandys Randolph NPPES

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

KANDYS RANDOLPH (NPI 1629644141) is an individual counselor in Freehold, New Jersey, licensed in New Jersey (37PC00682500) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629644141
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameKANDYS RANDOLPH
Location Address303 W MAIN ST STE 350Freehold, NJ 07728-4832
Mailing Address303 W Main St Ste 350Freehold, NJ 07728-4832 · (732) 393-8391 · Fax (732) 308-4500
Phone(732) 393-8391
Fax(732) 308-4500
Sole ProprietorNo
Enumeration DateJune 3, 2021
NPPES CertifiedJune 3, 2021
✔ NPI 1629644141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in NJ · 37PC00682500
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
303 W MAIN ST STE 350, Freehold, NJ 07728
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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)

Kandys Randolph 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 2

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

EMILY WALSH
Counselor (Mental Health)
303 W MAIN ST STE 350
FREEHOLD, NJ 07728
Monmouth County (732) 393-8391
JENNA RUDITSKY LPC
Counselor (Professional)
303 W MAIN ST STE 350
FREEHOLD, NJ 07728
Monmouth County (732) 308-4400

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 Kandys Randolph's NPI number?

The NPI number for Kandys Randolph is 1629644141. It was assigned to this individual provider in the NPPES registry on June 3, 2021.

Where is Kandys Randolph located?

Kandys Randolph practices at 303 W Main St Ste 350, Freehold, NJ 07728. The listed phone number is (732) 393-8391.

What is Kandys Randolph's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Kandys Randolph enrolled in Medicare?

Yes. Kandys Randolph is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kandys Randolph was last updated on June 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.