Active NPI
Randall Cole
- Addiction (Substance Use Disorder) Counselor
- Clearlake, CA
National Provider Identifier
1588029466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 14454 Olympic Dr
Clearlake, CA 95422 - Phone
- (707) 277-1677
- NPI assigned
- Dec 21, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CA | Primary |
Addresses
Primary practice location
14454 Olympic Dr
Clearlake, CA 95422
Mailing address
1301 13TH Ave.
Lucerne, CA 95458
Phone (707) 274-9101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760659200000",
"number": "1588029466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 13TH AVE.",
"city": "LUCERNE",
"state": "CA",
"postal_code": "95458",
"telephone_number": "707-274-9101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14454 OLYMPIC DR",
"city": "CLEARLAKE",
"state": "CA",
"postal_code": "95422",
"telephone_number": "707-277-1677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLE",
"first_name": "RANDALL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-12-21",
"last_updated": "2025-10-17",
"certification_date": "2025-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clearlake, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.