Mandy Randall, LPC, LCDC in San Antonio, TX - Medicare Counselor Provider

Mandy Randall, LPC, LCDC is a medicare enrolled "Counselor - Professional" provider in San Antonio, Texas. Her current practice location is 18018 Overlook Loop, Suite 105, Pmb 1029, San Antonio, Texas. You can reach out to her office (for appointments etc.) via phone at (210) 595-9158.

Mandy Randall is licensed to practice in Texas (license number 79060) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1316523749.

Contact Information

	Mandy Randall, LPC, LCDC
	18018 Overlook Loop, Suite 105, Pmb 1029, San Antonio, TX 78259-1883
	(210) 595-9158
	(844) 832-4701

Map and Direction

Healthcare Provider's Profile

Full Name	Mandy Randall
Gender	Female
Speciality	Counselor - Professional
Location	18018 Overlook Loop, San Antonio, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316523749
Provider Enumeration Date: 03/24/2021
Last Update Date: 01/21/2025

Medicare PECOS Information:

PECOS PAC ID: 6800320979
Enrollment ID: I20241112002049

Medical Identifiers

Medical identifiers for Mandy Randall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316523749	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	15052 (Texas)	Secondary
101YP2500X	Counselor - Professional	79060 (Texas)	Primary
101Y00000X	Counselor	79060 (Texas)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mandy Randall allows following entities to bill medicare on her behalf.

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220525002138

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mandy Randall is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mandy Randall, LPC, LCDC 18018 Overlook Loop, Suite 105, Pmb 1029, San Antonio, TX 78259 Ph: (210) 595-9158	Mandy Randall, LPC, LCDC 18018 Overlook Loop, Suite 105, Pmb 1029, San Antonio, TX 78259-1883 Ph: (210) 595-9158

Reviews and Comments

Counselor in San Antonio, TX

Paul Cassidy, Counselor Medicare: Medicare Enrolled Practice Location: 7272 Wurzbach Rd Ste 601, San Antonio, TX 78240 Phone: 210-615-3483
Andrea M Garcia, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3031 W Ih 10, San Antonio, TX 78201 Phone: 210-731-1300 Fax: 210-738-8025
Mrs. Cassandra Iris Limon, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4242 Medical Dr Ste 7250, San Antonio, TX 78229 Phone: 210-734-9352
Terri Kurpgeweit, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7300 Blanco Rd, 501, San Antonio, TX 78216 Phone: 210-764-3570
Elizabeth Marie Villarreal, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 530 San Pedro Ave, San Antonio, TX 78212 Phone: 210-558-8744
Laura L Brown, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3031 W Ih 10, San Antonio, TX 78201 Phone: 210-731-1300 Fax: 210-731-8678
Kelly D Mitchell, LCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3031 W Ih 10, San Antonio, TX 78201 Phone: 210-261-1024 Fax: 210-738-8025

Mandy Randall, LPC, LCDC - Medicare Counselor in San Antonio, TX