Individual provider Active NPI

Karen Randles Randles, LPCC

  • Mental Health Counselor
  • Sacramento, CA
National Provider Identifier
1265075808
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6289 Issued in CA
Practice address
650 University Ave Ste 108
Sacramento, CA 95825-6726
Phone
(916) 995-5655
NPI assigned
Oct 27, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 6289 CA Primary

Addresses

Primary practice location

650 University Ave Ste 108
Sacramento, CA 95825-6726

Mailing address

PO Box 581855
Elk Grove, CA 95758-0031
Phone (916) 995-5655

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241231003070 CA Practitioner - Mental Health Counselor 4789111857 Reassigns benefits to 1 organization
I20260529003809 CA Practitioner - Mental Health Counselor 4789111857 Practice locations: Sacramento, CA

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

111 Deerwood Rd
Suite 200
San Ramon, CA 94583-4445
Phone (925) 270-4499

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6289CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Blended Solutions, LLC Mental Health CurrentSince Nov 3, 2019 Accepting new patients
Attentive Cognitive and Mental Health Services Psychology Inc. Single Specialty CurrentSince Jan 2, 2025 Accepting new patients

Locations

650 University Ave
Ste 108
Sacramento, CA 95825
Phone (916) 646-2471

111 Deerwood Rd
Ste 200
San Ramon, CA 94583
Phone (925) 270-4499

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1572134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1265075808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 581855",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957580031",
            "telephone_number": "916-995-5655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 UNIVERSITY AVE STE 108",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958256726",
            "telephone_number": "916-995-5655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDLES",
        "first_name": "KAREN",
        "middle_name": "RANDLES",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-27",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "6289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.