Individual provider Active NPI

Randall Joseph Soland, LCPC

  • Addiction (Substance Use Disorder) Counselor
  • Springfield, IL
National Provider Identifier
1487706107
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
000198 Issued in IL
Practice address
1124 South Sixth Street
Springfield, IL 62703-0406
Phone
(217) 523-3143
Fax
(217) 523-7695
NPI assigned
Jan 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 000198 IL Primary
Professional Counselor 101YP2500X 000198 IL

Addresses

Primary practice location

1124 South Sixth Street
Springfield, IL 62703-0406

Mailing address

1124 South Sixth Street
Springfield, IL 62703-0406
Phone (217) 523-3143

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20240606003380 IL Practitioner - Mental Health Counselor 1456798446 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Psychological Associates of Central Illinois LTDGroup PAC ID 1355318825, 7 clinicians

Practice addresses (Care Compare)

1124 S 6TH St
Springfield, IL 62703-2406
Phone (217) 523-3143

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000198ILMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological Associates of Central Illinois LTD CurrentSince Apr 15, 2024 Accepting new patients

Locations

1124 S 6th St
Springfield, IL 62703
Phone (217) 523-3143

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": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1487706107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 SOUTH SIXTH STREET",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627030406",
            "telephone_number": "217-523-3143",
            "fax_number": "217-523-7695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 SOUTH SIXTH STREET",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627030406",
            "telephone_number": "217-523-3143",
            "fax_number": "217-523-7695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLAND",
        "first_name": "RANDALL",
        "middle_name": "JOSEPH",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "000198",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "000198",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

Verify at the official NPI Registry.