MR. RANDON KEONI AEA MA, LMHC
NPI 1992061832
Counselor - Mental Health in Seattle, WA

Q: What is Randon Aea's NPI number?

The NPI number for Randon Aea is 1992061832. It was assigned to this individual provider in the NPPES registry on April 4, 2012.

Q: What is Randon Aea's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Randon Aea was last updated on April 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since April 04, 2012PECOS EnrolledAccepts Medicare Assignment

5802 RAINIER AVE S, SEATTLE, WA 98118(206) 723-1980(206) 721-3930 Get Directions Write a Review

NPPES record last updated: April 4, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Randon Keoni Aea Ma, Lmhc NPPES

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

MR. RANDON KEONI AEA MA, LMHC (NPI 1992061832) is an individual mental health provider in Seattle, Washington, licensed in Washington (LH00010910) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1992061832

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameMR. RANDON KEONI AEACredential: MA, LMHC

Location Address5802 RAINIER AVE SSeattle, WA 98118-2706

Mailing Address17045 Hillside Dr Ne, #aLake Forest Park, WA 98155-5344 · (206) 817-1771

Phone(206) 723-1980

Fax(206) 721-3930

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateApril 4, 2012

✔ NPI 1992061832 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 WA · LH00010910

5802 RAINIER AVE S, Seattle, WA 98118

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Kaiser Permanente, PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and more.Insurance ›

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

Mr. Randon Keoni Aea Ma, Lmhc 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 ID9133567746

PECOS Enrollment IDI20240402001916

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.

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