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

Mr. John M. Randall

Individual provider Mental Health Counselor · NPI 1386076297

Mr. John M. Randall is a Mental Health Counselor in Watertown, New York. Qualified in 2014, 12 years ago. Practices with Citizen Advocates, Inc, a 50-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
12
Licensed in
NY
In the registry since
2013
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Practice location Address checks out

650 State St
Watertown, NY 13601-2839
Phone: (315) 755-1251
Fax: (315) 291-6601
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 335 W 1st St, Oswego, NY 13126-3655 — (315) 343-2243

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 007553 (NY)

Record details

NPI number1386076297
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 1, 2013
Last updated in NPPESJuly 1, 2025
Certification dateJuly 1, 2025
Mailing address335 W 1st St, Oswego, NY 13126-3655

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Citizen Advocates, Inc — 50 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Watertown