JAMIE RANDLE B.A
NPI 1679997449
Counselor - Addiction (Substance Use Disorder) in Fresno, CA

Active since February 13, 2014PECOS EnrolledAccepts Medicare Assignment
1505 N CHESTNUT AVE, FRESNO, CA 93703(559) 265-4800 Get Directions Write a Review

NPPES record last updated: February 13, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jamie Randle B.a NPPES

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

JAMIE RANDLE B.A (NPI 1679997449) is an individual addiction (substance use disorder) provider in Fresno, California and active in the NPI registry since February 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1679997449
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameJAMIE RANDLECredential: B.A
Location Address1505 N CHESTNUT AVEFresno, CA 93703-4504
Mailing Address5252 N Valentine Ave Apt 203Fresno, CA 93711-4026 · (559) 381-7220
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateFebruary 13, 2014
✔ NPI 1679997449 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
1505 N CHESTNUT AVE, Fresno, CA 93703

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jamie Randle B.a is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4183017890
PECOS Enrollment IDI20220201002162
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 Jamie Randle reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
231 E SOUTHLAKE BLVD, SUITE 140
Southlake, TX 76092
  • Reassigned Medicare billing, Texas enrollment
  • 4 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 3

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

Counselor (Addiction (Substance Use Disorder))
1505 N CHESTNUT AVE
FRESNO, CA 93703
Counselor (Addiction (Substance Use Disorder))
1505 N CHESTNUT AVE
FRESNO, CA 93703
Counselor (Addiction (Substance Use Disorder))
1505 N CHESTNUT AVE
FRESNO, CA 93703

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 Jamie Randle's NPI number?

The NPI number for Jamie Randle is 1679997449. It was assigned to this individual provider in the NPPES registry on February 13, 2014.

Where is Jamie Randle located?

Jamie Randle practices at 1505 N Chestnut Ave, Fresno, CA 93703. The listed phone number is (559) 265-4800.

What is Jamie Randle's specialty?

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

Is Jamie Randle enrolled in Medicare?

Yes. Jamie Randle is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jamie Randle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jamie Randle reassigns Medicare benefits to Ar Psychological Services PLLC (Southlake, TX). 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 Jamie Randle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jamie Randle accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Cigna Healthcare, Molina Healthcare and Oscar Insurance Company and 1 other insurer list Jamie Randle 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 Jamie Randle was last updated on February 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.