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MRS. JORDAN ELIZABETH RANDALL LMHC
NPI 1942640008
Counselor - Mental Health in Watertown, NY

Active since July 02, 2013
146L ARSENAL ST, WATERTOWN, NY 13601(315) 343-3344(315) 785-5637 Get Directions Write a Review

NPPES record last updated: December 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 21, 2022, Mar 17, 2018, Nov 13, 2017 (3 updates tracked since 2017).

About Mrs. Jordan Elizabeth Randall Lmhc NPPES

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

MRS. JORDAN ELIZABETH RANDALL LMHC (NPI 1942640008) is an individual mental health provider in Watertown, New York, licensed in New York (P02061) and active in the NPI registry since July 2013. She maintains a secondary practice location in Oswego.

NPPES Registry Identity

NPI1942640008
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. JORDAN ELIZABETH RANDALLCredential: LMHC
Location Address146L ARSENAL STWatertown, NY 13601
Mailing Address146l Arsenal StWatertown, NY 13601 · (315) 343-3344 · Fax (315) 785-5637
Phone(315) 343-3344
Fax(315) 785-5637
Sole ProprietorYes
Enumeration DateJuly 2, 2013
Last NPPES UpdateDecember 21, 20223 updates tracked since enumeration
NPPES CertifiedDecember 21, 2022
✔ NPI 1942640008 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 NY · P02061
146L ARSENAL ST, Watertown, NY 13601
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Other Names 1

Other Name (5)Ms. Jordan Elizabeth Oathout Lmhc

Secondary Practice Location 1

Location 1335 W 1st StOswego, NY 13126-3655 · Phone (315) 343-3344

Other Identifiers 1

Medicaid1942640008NY

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 Jordan Randall's NPI number?

The NPI number for Jordan Randall is 1942640008. It was assigned to this individual provider in the NPPES registry on July 2, 2013. The provider is also known as Ms. Jordan Elizabeth Oathout Lmhc.

Where is Jordan Randall located?

Jordan Randall practices at 146L Arsenal St, Watertown, NY 13601. The listed phone number is (315) 343-3344.

What is Jordan Randall's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jordan Randall was last updated on December 21, 2022. 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.