Individual provider Active NPI

Janel Marie Randle, MC, LPC

  • Professional Counselor
  • Phoenix, AZ
National Provider Identifier
1902132343
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC 13320 Issued in AZ
Practice address
2060 W Whispering Wind Dr Ste 270
Phoenix, AZ 85085-2869
Phone
(480) 653-8434
NPI assigned
Oct 20, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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 LPC 13320 AZ Primary

Addresses

Primary practice location

2060 W Whispering Wind Dr Ste 270
Phoenix, AZ 85085-2869

Mailing address

2060 W Whispering Wind Dr Ste 270
Phoenix, AZ 85085-2869
Phone (480) 653-8434

Other practice location 1

42104 N Venture Dr
Building D, Unit 3
Anthem, AZ 85086-3823
Phone (480) 250-4245

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20250103002511 AZ Practitioner - Clinical Psychologist 9739629643 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC 13320AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Wellness Center CurrentSince Jun 8, 2025 Accepting new patients
Phoenix Wellness Center LLC CurrentSince Dec 5, 2024 Accepting new patients
Az Neurohome, LLC Current Accepting new patients

Locations

2060 W Whispering Wind Dr
Ste 270
Phoenix, AZ 85085
Phone (480) 653-8434

Organizations & group practices 3

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": "1255996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1902132343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060 W WHISPERING WIND DR STE 270",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850852869",
            "telephone_number": "480-653-8434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 W WHISPERING WIND DR STE 270",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850852869",
            "telephone_number": "480-653-8434"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "42104 N Venture Dr",
            "address_2": "Building D, Unit 3",
            "address_purpose": "LOCATION",
            "city": "Anthem",
            "state": "AZ",
            "postal_code": "850863823",
            "country_code": "US",
            "telephone_number": "480-250-4245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RANDLE",
        "first_name": "JANEL",
        "middle_name": "MARIE",
        "credential": "MC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-20",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC 13320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.