Jakub Randall, PHD

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180007664 Issued in IL

Practice address

53 W Jackson Blvd Ste 426
Chicago, IL 60604-3413

Phone

(312) 771-3475

Fax

(312) 771-3475

NPI assigned

Nov 11, 2010

Last updated

Sep 12, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 6, 2025 through Jan 6, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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

• Quintess Counseling, PLLC

  • Mental Health Counselor
  • Chicago, IL
  • NPI 1346639556
  NPD Authorized official

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

{
    "created_epoch": "1289433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789171200000",
    "number": "1568763225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3712 N BROADWAY ST",
            "address_2": "PBM 145",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606134235",
            "telephone_number": "312-771-3475",
            "fax_number": "312-771-3475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 W JACKSON BLVD STE 426",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606043413",
            "telephone_number": "312-771-3475",
            "fax_number": "312-771-3475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDALL",
        "first_name": "JAKUB",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-11",
        "last_updated": "2026-09-12",
        "certification_date": "2026-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180007664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dayton Robert Rand, MD
• Emma Rand, LCPC, ATR
• Shulamis Rand
• Charles J Randa, PT, DPT, CSCS
• Randall R Ricketts OD LLC (Eye Mechanix)
• Karen M Randall, PH.D.
• Kelly Randall, LSW
• Linda Randall, LCPC
• Megan Elizabeth Randall, MD
• Daniel Randar, DPT

• Professional Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.