Mr Austin Gonzalez-randolph, LMHC; LP - Medicare Counselor in Bothell, WA

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Mr Austin Gonzalez-randolph, LMHC; LP is a medicare enrolled "Psychologist" provider in Bothell, Washington. His current practice location is 18509 94th Ave Ne, Bothell, Washington. You can reach out to his office (for appointments etc.) via phone at (414) 429-4887.

Mr Austin Gonzalez-randolph is licensed to practice in Washington (license number PY61278527) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1851975056.

Contact Information

Mr Austin Gonzalez-randolph, LMHC; LP
18509 94th Ave Ne,
Bothell, WA 98011-3354
(414) 429-4887
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMr Austin Gonzalez-randolph
GenderMale
SpecialityPsychologist
Location18509 94th Ave Ne, Bothell, Washington
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1851975056
  • Provider Enumeration Date: 05/12/2021
  • Last Update Date: 05/20/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4981075462
  • Enrollment ID: I20230119002265

Medical Identifiers

Medical identifiers for Mr Austin Gonzalez-randolph such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1851975056NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health MC61132940 (Washington)Secondary
103T00000XPsychologist PY61278527 (Washington)Primary

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. Mr Austin Gonzalez-randolph allows following entities to bill medicare on his behalf.
Entity NameMindful Therapy Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316238678
PECOS PAC ID: 4981872561
Enrollment ID: O20110726000730

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. Mr Austin Gonzalez-randolph 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 AddressPractice Location Address
Mr Austin Gonzalez-randolph, LMHC; LP
100 N Howard St Ste R,
Spokane, WA 99201-0508

Ph: (425) 780-5094		Mr Austin Gonzalez-randolph, LMHC; LP
18509 94th Ave Ne,
Bothell, WA 98011-3354

Ph: (414) 429-4887

Reviews and Comments


Psychologist in Bothell, WA


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.