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HEATHER W. RANDOLPH PSY.D.
NPI 1861659302
Psychologist - Clinical in Louisville, KY

Active since May 21, 2008PECOS EnrolledAccepts Medicare Assignment
7511 NEW LAGRANGE RD, LOUISVILLE, KY 40222(502) 423-1151(502) 423-1748 Get Directions Write a Review

NPPES record last updated: April 15, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Heather W. Randolph Psy.d. NPPES

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

HEATHER W. RANDOLPH PSY.D. (NPI 1861659302) is an individual clinical provider in Louisville, Kentucky, licensed in Kentucky (1491) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1861659302
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameHEATHER W. RANDOLPHCredential: PSY.D.
Location Address7511 NEW LAGRANGE RDLouisville, KY 40222-4859
Mailing Address7511 New Lagrange RdLouisville, KY 40222-4859 · (502) 423-1151 · Fax (502) 423-1748
Phone(502) 423-1151
Fax(502) 423-1748
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateMay 21, 2008
Last NPPES UpdateApril 15, 2010
✔ NPI 1861659302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in KY · 1491
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
7511 NEW LAGRANGE RD, Louisville, KY 40222
Open in Google Maps ↗

Other Identifiers 1

Medicare PIN3001424KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Heather W. Randolph Psy.d. 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 ID345300554
PECOS Enrollment IDI20081118000553
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 Heather Randolph reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kentuckiana Psychological Associates PLLC
1.9 mi
Clinical
9400 WILLIAMSBURG PLZ STE 310
Louisville, KY 40222
  • Reassigned Medicare billing, Kentucky enrollment
  • 4 clinicians in this Medicare group
NPI 1669327151 (502) 627-0303

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40222 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$162.27 typical visit price
range $52.76 – $162.27
Typical copayment $40.56 (range $13.19 – $40.56)
Most-billed visit code 99205
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

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

LESLIE MARKS M.ED.
Psychologist
7511 NEW LAGRANGE RD
LOUISVILLE, KY 40222
Jefferson County (502) 423-1151
DR. ADAM BRICKLER PSY.D
Psychologist
7511 NEW LAGRANGE RD
LOUISVILLE, KY 40222
Jefferson County (502) 423-1151
ELISA WETZLER PSY.D
Psychologist
7511 NEW LAGRANGE RD
LOUISVILLE, KY 40222
Jefferson County (502) 423-1151
DONNA C SMITH M.A.
Psychologist
7511 NEW LAGRANGE RD
LOUISVILLE, KY 40222
Jefferson County (502) 423-1151
DR. RICHARD I EDELSON PH.D
Clinical Neuropsychologist
7511 NEW LAGRANGE RD
LOUISVILLE, KY 40222
Jefferson County (502) 423-1151
MARILYN M WAGNER PH.D.
Clinical Neuropsychologist
7511 NEW LAGRANGE RD
LOUISVILLE, KY 40222
Jefferson County (502) 423-1151
MARY KIMBLE KEENAN
Psychologist (Counseling)
7511 NEW LAGRANGE RD
LOUISVILLE, KY 40222
Jefferson County (502) 423-1151
EDELSON AND ASSOCIATES, INC.
Clinical Neuropsychologist
7511 NEW LAGRANGE RD
LOUISVILLE, KY 40222
Jefferson County (502) 423-1151

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 Heather Randolph's NPI number?

The NPI number for Heather Randolph is 1861659302. It was assigned to this individual provider in the NPPES registry on May 21, 2008.

Where is Heather Randolph located?

Heather Randolph practices at 7511 New Lagrange Rd, Louisville, KY 40222. The listed phone number is (502) 423-1151.

What is Heather Randolph's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Heather Randolph enrolled in Medicare?

Yes. Heather Randolph 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 Heather Randolph's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heather Randolph reassigns Medicare benefits to Kentuckiana Psychological Associates PLLC (Louisville, KY). 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 Heather Randolph's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Heather Randolph accept?

Health plans from Anthem Blue Cross and Blue Shield list Heather 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 Heather Randolph was last updated on April 15, 2010. 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.