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MR. RANDY LEE WALL LPC, NCC
NPI 1700919099
Counselor - Pastoral in Concord, NC

Active since March 14, 2007PECOS Enrolled
2560 COLD SPRINGS RD E, CONCORD, NC 28025(704) 789-3975 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Randy Lee Wall Lpc, Ncc NPPES

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

MR. RANDY LEE WALL LPC, NCC (NPI 1700919099) is an individual pastoral provider in Concord, North Carolina, licensed in North Carolina (5048) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700919099
Entity TypeIndividualMale
Primary Taxonomy101YP1600X
Provider Legal NameMR. RANDY LEE WALLCredential: LPC, NCC
Location Address2560 COLD SPRINGS RD EConcord, NC 28025-8004
Mailing Address2560 Cold Springs Rd EConcord, NC 28025-8004 · (704) 789-3975
Phone(704) 789-3975
Sole ProprietorYes
Enumeration DateMarch 14, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1700919099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · PastoralBehavioral Health & Social Service Providers
Taxonomy Code101YP1600X
License✔ Licensed in NC · 5048
2560 COLD SPRINGS RD E, Concord, NC 28025
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Cigna Healthcare, UnitedHealthcare.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. Randy Lee Wall Lpc, Ncc 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 Randy Wall reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PA
662 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, North Carolina enrollment
  • 712 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

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

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 Wall's NPI number?

The NPI number for Randy Wall is 1700919099. It was assigned to this individual provider in the NPPES registry on March 14, 2007.

Where is Randy Wall located?

Randy Wall practices at 2560 Cold Springs Rd E, Concord, NC 28025. The listed phone number is (704) 789-3975.

What is Randy Wall's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Pastoral, with taxonomy code 101YP1600X.

Is Randy Wall enrolled in Medicare?

Yes. Randy Wall is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Randy Wall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Randy Wall reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). 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 Randy Wall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Randy Wall accept?

Health plans from Blue Cross and Blue Shield of Texas, Cigna Healthcare and UnitedHealthcare list Randy Wall 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 Randy Wall was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.