MR. RANDALL CROUCH LMHC
NPI 1982930137
Counselor - Mental Health in Port Charlotte, FL

Active since October 22, 2009Opted out of Medicare · through Oct 10, 2026
4055 TAMIAMI TRL, PORT CHARLOTTE, FL 33952(941) 276-7889(941) 249-5039 Get Directions Write a Review

NPPES record last updated: July 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Randall Crouch Lmhc NPPES

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

MR. RANDALL CROUCH LMHC (NPI 1982930137) is an individual mental health provider in Port Charlotte, Florida, licensed in Florida (MH10076) and active in the NPI registry since October 2009. He has opted out of Medicare through October 10, 2026.

NPPES Registry Identity

NPI1982930137
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. RANDALL CROUCHCredential: LMHC
Location Address4055 TAMIAMI TRLPort Charlotte, FL 33952-9212
Mailing Address4055 Tamiami TrlPort Charlotte, FL 33952-9212 · (941) 276-7889 · Fax (941) 249-5039
Fax(941) 249-5039
Sole ProprietorYes
Enumeration DateOctober 22, 2009
Last NPPES UpdateJuly 22, 2021
NPPES CertifiedJuly 22, 2021
NPI 1982930137 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 FL · MH10076
4055 TAMIAMI TRL, Port Charlotte, FL 33952

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Mr. Randall Crouch Lmhc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 10, 2024 through October 10, 2026.

Opt-Out Effective DateOctober 10, 2024
Opt-Out In Effect ThroughOctober 10, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 5

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

Social Worker (Clinical)
4055 TAMIAMI TRL, SUITE 20
PORT CHARLOTTE, FL 33952
Podiatrist
4055 TAMIAMI TRL, STE 9
PORT CHARLOTTE, FL 33952
Non-emergency Medical Transport (VAN)
4055 TAMIAMI TRL
PORT CHARLOTTE, FL 33952
Social Worker
4055 TAMIAMI TRL, #20
PORT CHARLOTTE, FL 33952
Family Medicine
4055 TAMIAMI TRL, STE 23
PORT CHARLOTTE, FL 33952

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 Randall Crouch's NPI number?

The NPI number for Randall Crouch is 1982930137. It was assigned to this individual provider in the NPPES registry on October 22, 2009.

Where is Randall Crouch located?

Randall Crouch practices at 4055 Tamiami Trl, Port Charlotte, FL 33952. The listed phone number is (941) 276-7889.

What is Randall Crouch's specialty?

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

Is Randall Crouch enrolled in Medicare?

No. Randall Crouch has opted out of Medicare through October 10, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Randall Crouch accept?

Health plans from Oscar Health Maintenance Organization of Florida, Providence Health Plan, UnitedHealthcare and Wellpoint list Randall Crouch 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 Randall Crouch was last updated on July 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.