Randy Erwin Masterson, MA, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

6401002718 Issued in MI

Practice address

13 N Bridge St Ste a
Saranac, MI 48881-5122

Phone

(616) 552-3463

NPI assigned

May 2, 2011

Last updated

Apr 22, 2021By 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

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

Specialty

Mental Health Counselor

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1304294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619049600000",
    "number": "1891086336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 SUMMIT ST",
            "city": "SARANAC",
            "state": "MI",
            "postal_code": "488819533",
            "telephone_number": "616-550-6498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 N BRIDGE ST STE A",
            "city": "SARANAC",
            "state": "MI",
            "postal_code": "488815122",
            "telephone_number": "616-552-3463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTERSON",
        "first_name": "RANDY",
        "middle_name": "ERWIN",
        "name_prefix": "Mr.",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-02",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401002718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie Denise Johnson, NP-C
• Kathleen Ellsworth DDS PC
• Lisa Krikke
• Aaron J Kroemer, DDS
• Jessica Lindner, MS, OTRL
• John Patrick McRee, D.D.S.
• Jennifer Lynn Moilanen, NP-C
• Samantha Leigh Newell, DPT
• Katarina Oblinger, LMSW
• Rebecca Marie Palmer, LMSW

• Counselor in Saranac, MI
• Providers in Saranac, MI by specialty
• Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.