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MARK HAMPTON RANDOLPH CSAC, CSIT, LADC
NPI 1689454084
Counselor - Addiction (Substance Use Disorder) in Hudson, WI

Active since October 03, 2023
405 STAGELINE RD, HUDSON, WI 54016(715) 531-6210(715) 531-6755 Get Directions Write a Review

NPPES record last updated: October 3, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mark Hampton Randolph Csac, Csit, Ladc NPPES

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

MARK HAMPTON RANDOLPH CSAC, CSIT, LADC (NPI 1689454084) is an individual addiction (substance use disorder) provider in Hudson, Wisconsin, licensed in Wisconsin (16008-132) and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1689454084
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMARK HAMPTON RANDOLPHCredential: CSAC, CSIT, LADC
Location Address405 STAGELINE RDHudson, WI 54016-1793
Mailing Address405 Stageline RdHudson, WI 54016-1793 · (715) 531-6210 · Fax (715) 531-6766
Phone(715) 531-6210
Fax(715) 531-6755
Sole ProprietorYes
Enumeration DateOctober 3, 2023
NPPES CertifiedOctober 3, 2023
✔ NPI 1689454084 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
License✔ Licensed in WI · 16008-132
405 STAGELINE RD, Hudson, WI 54016
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, HealthPartners, Medica and more.Insurance ›

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.

HEATHER KALUZNIAK MD
Emergency Medicine
405 STAGELINE RD
HUDSON, WI 54016
St. Croix County (715) 531-6000
DR. FRANK T. PILNEY M.D.
Surgery (Plastic and Reconstructive Surgery)
405 STAGELINE RD, HUDSON HOSPITAL & CLINICS
HUDSON, WI 54016
St. Croix County (651) 645-3966
MARY ELLEN AKAN PT
Physical Therapist
405 STAGELINE RD
HUDSON, WI 54016
St. Croix County (715) 531-6400
HEATHER MAY SIMMEL MOTR/L, CLT
Occupational Therapist
405 STAGELINE RD
HUDSON, WI 54016
St. Croix County (715) 531-6321
JEFFREY L REICHEL CRNA
Nurse Anesthetist, Certified Registered
405 STAGELINE RD
HUDSON, WI 54016
St. Croix County (715) 531-6625
TAMMIE J HAVEMAN
Physician Assistant
405 STAGELINE RD
HUDSON, WI 54016
St. Croix County (715) 531-6000
DR. BRIAN J PETERSON D.O.
Emergency Medicine
405 STAGELINE RD
HUDSON, WI 54016
St. Croix County (715) 531-6000
LISA LOGGHE DPT
Physical Therapist
405 STAGELINE RD
HUDSON, WI 54016
St. Croix County (715) 531-6700

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 Mark Randolph's NPI number?

The NPI number for Mark Randolph is 1689454084. It was assigned to this individual provider in the NPPES registry on October 3, 2023.

Where is Mark Randolph located?

Mark Randolph practices at 405 Stageline Rd, Hudson, WI 54016. The listed phone number is (715) 531-6210.

What is Mark Randolph's specialty?

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

What insurance does Mark Randolph accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Medica and Security Health Plan list Mark Randolph 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 Mark Randolph was last updated on October 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.