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

Eric Randall, PPC

Individual provider Professional Counselor · NPI 1174248249

Eric Randall, PPC is a Mental Health Counselor in Laramie, Wyoming. Qualified in 2022, 4 years ago. Practices with Overcomer Counseling LLC, an 11-clinician group and accepts Medicare assignment. Licensed in Wyoming.

Years since qualifying
4
Licensed in
WY
In the registry since
2022
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Practice location Address checks out

265 N 4th St
Laramie, WY 82072-3131
Phone: (307) 460-8277
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence PPC-1350 (WY)

Record details

NPI number1174248249
Entity typeIndividual (Type 1)
GenderMale
Credentials PPC
Sole proprietorNo
NPI enumeratedOctober 11, 2022
Last updated in NPPESOctober 11, 2022
Certification dateOctober 11, 2022
Mailing address1726 Mill St, Laramie, WY 82072-1924

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)
Group practice Overcomer Counseling Llc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Laramie