Individual provider Active NPI

Randall Eric Cole, LLPC

  • Professional Counselor
  • Jackson, MI
National Provider Identifier
1427540913
Registry record updated May 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401016634 Issued in MI
Practice address
6692 Spring Arbor Rd
Jackson, MI 49201-9322
Phone
(517) 750-3869
Fax
(517) 750-3673
NPI assigned
May 31, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401016634 MI Primary

Addresses

Primary practice location

6692 Spring Arbor Rd
Jackson, MI 49201-9322

Mailing address

6692 Spring Arbor Rd
Jackson, MI 49201-9322
Phone (517) 750-3869

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20260304000884 MI Practitioner - Mental Health Counselor 3274015730 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

885 Penniman Ave
Unit 5425
Plymouth, MI 48170-7729

PO Box
Suite 873
Grass Lake, MI 49240-0873

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401016634MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespring Counseling Services Counselor CurrentSince Jan 3, 2026 Accepting new patients

Organizations & group practices 1

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": "1527724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527724800000",
    "number": "1427540913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6692 SPRING ARBOR RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492019322",
            "telephone_number": "517-750-3869",
            "fax_number": "517-750-3673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6692 SPRING ARBOR RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492019322",
            "telephone_number": "517-750-3869",
            "fax_number": "517-750-3673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "RANDALL",
        "middle_name": "ERIC",
        "credential": "LLPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-31",
        "last_updated": "2018-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401016634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

Verify at the official NPI Registry.