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

Randall Edward Surque, LPC

Individual provider Counselor · NPI 1447726146

Randall Edward Surque, LPC is a Mental Health Counselor in Jackson, Michigan. Qualified in 2017, 9 years ago. Practices with Jackson-Hillsdale Community Mental Health Board, a 26-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
9
Licensed in
MI
In the registry since
2018
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

1200 N West Ave
Jackson, MI 49202-2179
Phone: (517) 789-1200
Fax: (517) 789-1276
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 6401016161 (MI)

Record details

NPI number1447726146
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorNo
NPI enumeratedOctober 19, 2018
Last updated in NPPESOctober 30, 2024
Certification dateOctober 30, 2024
Mailing address1200 N West Ave, Jackson, MI 49202-2179

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Jackson-Hillsdale Community Mental Health Board — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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