ERIN ELIZABETH RANDOLL
NPI 1902125040
Marriage & Family Therapist in San Diego, CA

Active since May 28, 2010PECOS EnrolledAccepts Medicare Assignment
1963 4TH AVE, SAN DIEGO, CA 92101(619) 385-0240 Get Directions Write a Review

NPPES record last updated: July 11, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 11, 2023, May 18, 2021, Jun 28, 2016 (3 updates tracked since 2016).

About Erin Elizabeth Randoll NPPES

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

ERIN ELIZABETH RANDOLL (NPI 1902125040) is an individual marriage & family therapist in San Diego, California, licensed in California (93805) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Diego, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1902125040
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameERIN ELIZABETH RANDOLL
Location Address1963 4TH AVESan Diego, CA 92101-2394
Mailing Address1963 4th AveSan Diego, CA 92101-2394 · (619) 385-0240
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateMay 28, 2010
Last NPPES UpdateJuly 11, 20233 updates tracked since enumeration
NPPES CertifiedJuly 11, 2023
NPI 1902125040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Licenses Licensed in CA · 93805 Licensed in CA · 69002
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
Also ListedCounselorTaxonomy 101Y00000X · License 69002 (CA)
1963 4TH AVE, San Diego, CA 92101

Secondary Practice Location 1

Location 16160 Mission Gorge Rd, 108San Diego, CA 92120-3410 · Phone (619) 481-5200

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Erin Elizabeth Randoll 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 ID345692935
PECOS Enrollment IDI20240119000025
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.

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.

Counselor (Mental Health)
1963 4TH AVE
SAN DIEGO, CA 92101
Student in an Organized Health Care Education/Training Program
1963 4TH AVE
SAN DIEGO, CA 92101
Peer Specialist
1963 4TH AVE
SAN DIEGO, CA 92101
Day Training/Habilitation Specialist
1963 4TH AVE
SAN DIEGO, CA 92101
Social Worker (Clinical)
1963 4TH AVE
SAN DIEGO, CA 92101
Student in an Organized Health Care Education/Training Program
1963 4TH AVE
SAN DIEGO, CA 92101
Registered Nurse (Psychiatric/Mental Health, Adult)
1963 4TH AVE
SAN DIEGO, CA 92101
Student in an Organized Health Care Education/Training Program
1963 4TH AVE, ARETA CROWELL BPSR CENTER
SAN DIEGO, CA 92101

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 Erin Randoll's NPI number?

The NPI number for Erin Randoll is 1902125040. It was assigned to this individual provider in the NPPES registry on May 28, 2010.

Where is Erin Randoll located?

Erin Randoll practices at 1963 4th Ave, San Diego, CA 92101. The listed phone number is (619) 385-0240.

What is Erin Randoll's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Erin Randoll enrolled in Medicare?

Yes. Erin Randoll 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.

When was this NPI record last updated?

The NPPES record for Erin Randoll was last updated on July 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.