Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Caleb Randolph

Individual provider Counselor · NPI 1538884747

Caleb Randolph is a Mental Health Counselor in Eugene, Oregon. Qualified in 2022, 4 years ago. Works from 2 locations. Licensed in Idaho and Oregon.

Years since qualifying
4
Licensed in
ID, OR
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

1580 Valley River Dr
Eugene, OR 97401-2116
Phone: (541) 904-5216
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 110 E Walnut St, Pocatello, ID 83201-4570 — (208) 549-7246

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence C10195 (OR)
Counselor Taxonomy 101Y00000X · Licence 8857 (ID)

Record details

NPI number1538884747
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 10, 2022
Last updated in NPPESJuly 15, 2025
Certification dateJuly 15, 2025
Mailing address7515 Falcon Crest Dr # 200, Redmond, OR 97756-5014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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