KIMBERLY NICPON RANDALL
NPI 1902755127
Counselor - Mental Health in Rice Lake, WI
Active since January 22, 2026
About Kimberly Nicpon Randall NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLY NICPON RANDALL (NPI 1902755127) is an individual mental health provider in Rice Lake, Wisconsin, licensed in Wisconsin (5419-125) and active in the NPI registry since January 2026.
NPPES Registry Identity
NPI1902755127
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKIMBERLY NICPON RANDALL
Location Address33 ANN STRice Lake, WI 54868-2265
Mailing Address33 Ann StRice Lake, WI 54868-2265 · (715) 736-1000 · Fax (715) 736-1005
Phone(715) 736-1000
Fax(715) 736-1005
Sole ProprietorNo
Enumeration DateJanuary 22, 2026
NPPES CertifiedJanuary 22, 2026
✔ NPI 1902755127 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WI · 5419-125
33 ANN ST, Rice Lake, WI 54868
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1902755127, enumerated as an "individual" on January 22, 2026.
The provider is located at 33 ANN ST RICE LAKE, WI 54868 and the phone number is (715) 736-1000.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.