MR. TIM L RANDALL LAC NPI 1598962987

NPI Information

  • NPI: 1598962987
  • Provider Name: MR. TIM L RANDALL, LAC
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 300 2ND AVE NE
    SUITE 221
    JAMESTOWN, ND
    ZIP 58401
  • Phone: (701) 252-5398

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NPI Details

MR. Tim L Randall, LAC is an addiction (substance use disorder) counselor in Jamestown, ND. MR. Tim L Randall, LAC NPI is 1598962987. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

300 2ND AVE NE
SUITE 221
JAMESTOWN, ND
ZIP 58401-373
Phone: (701) 252-5398
Fax: (701) 252-5398

The enumeration date for this NPI number is 6/28/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)1102NORTH DAKOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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