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

Jessica Randolph, LPC, PA

Individual provider Professional Counselor · NPI 1174842215

Jessica Randolph, LPC, PA is a Physician Assistant in Tahlequah, Oklahoma. Qualified in 2020, 6 years ago. Practices with Cherokee Nation, a 448-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oklahoma.

Years since qualifying
6
Licensed in
OK
In the registry since
2010
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

100 S Bliss Ave
Tahlequah, OK 74464-2512
Phone: (918) 458-3100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 3205 (OK)
Professional Counselor Taxonomy 101YP2500X · Licence 5388 (OK)

Record details

NPI number1174842215
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC , PA
Sole proprietorNo
NPI enumeratedMay 28, 2010
Last updated in NPPESMay 5, 2026
Certification dateMay 5, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Cherokee Nation — 448 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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