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

Mr. Randall John Ambrosius, MSWCADCIIILCSW

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1487720769

Mr. Randall John Ambrosius, MSWCADCIIILCSW is an Addiction (Substance Use Disorder) Counselor in Wisconsin Rapids, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.

Licensed in
WI
In the registry since
2006
Specialties on file
2

Practice location Address checks out

2611 12th St S Mental Health Aoda Clinic
Wisconsin Rapids, WI 54494
Phone: (715) 421-8849
Fax: (715) 421-2266
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 1834 (WI)
Clinical Social Worker Taxonomy 1041C0700X · Licence 4186123 (WI)

Record details

NPI number1487720769
Entity typeIndividual (Type 1)
GenderMale
Credentials MSWCADCIIILCSW
Sole proprietorNo
NPI enumeratedNovember 28, 2006
Last updated in NPPESJanuary 29, 2008

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