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VENITA CATRICE RANDALL MA, LPC, LPCS, LAC
NPI 1972784916
Counselor in Little River, SC

Active since November 19, 2007PECOS Enrolled
657 TWINFLOWER ST, LITTLE RIVER, SC 29566(704) 561-1913 Get Directions Write a Review

NPPES record last updated: October 28, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Venita Catrice Randall Ma, Lpc, Lpcs, Lac NPPES

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

VENITA CATRICE RANDALL MA, LPC, LPCS, LAC (NPI 1972784916) is an individual counselor in Little River, South Carolina and active in the NPI registry since November 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972784916
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameVENITA CATRICE RANDALLCredential: MA, LPC, LPCS, LAC
Location Address657 TWINFLOWER STLittle River, SC 29566-7444
Mailing AddressPo Box 924North Myrtle Beach, SC 29597-0924 · (843) 945-0658
Phone(704) 561-1913
Sole ProprietorYes
Enumeration DateNovember 19, 2007
Last NPPES UpdateOctober 28, 2024
NPPES CertifiedOctober 28, 2024
✔ NPI 1972784916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
657 TWINFLOWER ST, Little River, SC 29566
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Venita Catrice Randall Ma, Lpc, Lpcs, Lac 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 Venita Randall reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

South Carolina Dept Of Mental Health Accounting Office
18 mi
Mental Health (Including Community Mental Health Center)
164 WACCAMAW MEDICAL PARK DR
Conway, SC 29526
  • Reassigned Medicare billing, South Carolina enrollment
  • 79 clinicians in this Medicare group
NPI 1356397228 (843) 347-5060

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 Venita Randall's NPI number?

The NPI number for Venita Randall is 1972784916. It was assigned to this individual provider in the NPPES registry on November 19, 2007.

Where is Venita Randall located?

Venita Randall practices at 657 Twinflower St, Little River, SC 29566. The listed phone number is (704) 561-1913.

What is Venita Randall's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Venita Randall enrolled in Medicare?

Yes. Venita Randall is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Venita Randall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Venita Randall reassigns Medicare benefits to South Carolina Dept Of Mental Health Accounting Office (Conway, SC). 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 Venita Randall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Venita Randall accept?

Health plans from Ambetter from Absolute Total Care and Ambetter of North Carolina list Venita Randall 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 Venita Randall was last updated on October 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.