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Deactivated NPI 1922412899 Deactivated / Inactive NPI Male Practitioner

Jon C Randol , PCC

Counselor - Professional • Lebanon, OH

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jon Randol has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 18, 2014
NPI Deactivation Date September 17, 2019
Total Practice Duration ~5 Years of Practice (2014 – 2019)

Professional Overview & Biography Verified Profile Summary

Jon Randol, PCC was a registered Counselor - Professional practicing in Lebanon, OH. Throughout an active medical career spanning 5 years, Jon Randol provided care at the practice location at 975 KINGSVIEW DR until profile deactivation on 2019-09-17.

Practice Location & Contact Primary Location

Practice Address

975 Kingsview Dr

Lebanon, OH 450369562

Telephone 5132287800
Fax 5132287848
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Lebanon, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.0 Yrs
State Avg: 15.9 Yrs
Regional Practice Density
15 Specialists

Practicing in Lebanon, OH (6923 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License OH E-0001459-SUPV

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Olivia Himes

Student in an Organized Health Care Education/Training Program

NPI 1003693771
Jennifer Wade , PCC-S, LICDC

Counselor - Professional

NPI 1043460256

PCCS, LICDC

Tosha Crone

Case Manager/Care Coordinator

NPI 1043627458
Katherine Peterson , QMHP

Case Manager/Care Coordinator

NPI 1043730914

Qualified Mental Health Professional

Amber Parker , LSW

Social Worker - Clinical

NPI 1053862359

Licensed Social Worker

Nikea Smith , RN

Registered Nurse

NPI 1063182335

Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated September 17, 2019

Record deactivated on September 17, 2019

NPI Profile Active June 18, 2014

NPI status registered as active in NPPES database

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Updated Practice Location June 18, 2014

Registered at 975 KINGSVIEW DR, LEBANON, OH 450369562 (Tel: 5132287800)

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Updated Business Mailing Address June 18, 2014

Registered at 975 KINGSVIEW DR, SUITE 400, LEBANON, OH 450369562 (Tel: 5132287854)

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Provider Name / Credentials Updated June 18, 2014

Recorded as JON RANDOL, PCC

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 18, 2014

Counselor (License #E-0001459-SUPV in OH)

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Initial NPI Registration & Enumeration June 18, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1922412899
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 18, 2014
Last Update: June 18, 2014
Deactivation Date: September 17, 2019

Mailing Address

975 Kingsview Dr, Suite 400

Lebanon, OH 450369562

Phone: 5132287854

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.