RANDY LEE MICKELBERG BA
NPI 1649507443
Counselor - Mental Health in Saint Cloud, MN

Active since November 16, 2009
1321 13TH ST N, SAINT CLOUD, MN 56303(320) 252-5010(320) 203-1855 Get Directions Write a Review

NPPES record last updated: November 16, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Randy Lee Mickelberg Ba NPPES

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

RANDY LEE MICKELBERG BA (NPI 1649507443) is an individual mental health provider in Saint Cloud, Minnesota and active in the NPI registry since November 2009.

NPPES Registry Identity

NPI1649507443
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameRANDY LEE MICKELBERGCredential: BA
Location Address1321 13TH ST NSaint Cloud, MN 56303-2613
Mailing Address1321 13th St NSaint Cloud, MN 56303-2613 · (320) 252-5010 · Fax (320) 203-1855
Fax(320) 203-1855
Sole ProprietorNo
Enumeration DateNovember 16, 2009
NPI 1649507443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1321 13TH ST N, Saint Cloud, MN 56303

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.

Psychologist (Clinical)
1321 13TH ST N
SAINT CLOUD, MN 56303
Counselor (Addiction (Substance Use Disorder))
1321 13TH ST N
SAINT CLOUD, MN 56303
Nurse Practitioner (Adult Health)
1321 13TH ST N
SAINT CLOUD, MN 56303
Psychologist
1321 13TH ST N
ST CLOUD, MN 56303
Counselor (Mental Health)
1321 13TH ST N
SAINT CLOUD, MN 56303
Pharmacy (Long Term Care Pharmacy)
1321 13TH ST N, SUITE 100
SAINT CLOUD, MN 56303
Psychologist (Counseling)
1321 13TH ST N
SAINT CLOUD, MN 56303
Counselor (Mental Health)
1321 13TH ST N
SAINT CLOUD, MN 56303

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 Randy Mickelberg's NPI number?

The NPI number for Randy Mickelberg is 1649507443. It was assigned to this individual provider in the NPPES registry on November 16, 2009.

Where is Randy Mickelberg located?

Randy Mickelberg practices at 1321 13th St N, Saint Cloud, MN 56303. The listed phone number is (320) 252-5010.

What is Randy Mickelberg's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Randy Mickelberg was last updated on November 16, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.