NPIMap

Organization Active NPI

Randall Therapeutic Services

  • Mental Health Counselor
  • Rice Lake, WI
National Provider Identifier
1386593598
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
RANDALL THERAPEUTIC SERVICES
Practice address
33 Ann St
Rice Lake, WI 54868-2265
Phone
(715) 736-1000
Fax
(715) 736-1005
NPI assigned
Jan 22, 2026
Last updated
Jan 22, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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

Authorized official

Name
Kimberly Nicpon Randall, RANDALLNPI 1902755127
Title
Owner/Clinical Director
Phone
(715) 736-1000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

33 Ann St
Rice Lake, WI 54868-2265

Mailing address

33 Ann St
Rice Lake, WI 54868-2265
Phone (715) 736-1000

National Provider Directory

National Provider Directory

Locations

33 Ann St
Rice Lake, WI 54868
Phone (715) 736-1000

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1769040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769040000000",
    "number": "1386593598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 ANN ST",
            "city": "RICE LAKE",
            "state": "WI",
            "postal_code": "548682265",
            "telephone_number": "715-736-1000",
            "fax_number": "715-736-1005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 ANN ST",
            "city": "RICE LAKE",
            "state": "WI",
            "postal_code": "548682265",
            "telephone_number": "715-736-1000",
            "fax_number": "715-736-1005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDALL THERAPEUTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-22",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A",
        "authorized_official_last_name": "RANDALL",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "NICPON",
        "authorized_official_title_or_position": "OWNER/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "715-736-1000",
        "authorized_official_credential": "RANDALL"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rice Lake, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.