Randall Edward Surque, LPC
NPI 1447726146ActiveIndividual· Counselor· Jackson, MI
Counselor (LPC) with Jackson-Hillsdale Community Mental Health Board, practicing in Jackson, Michigan. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1447726146 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LPC |
| Sole proprietor | No |
| NPI issued | Oct 19, 2018 |
| Last updated in NPPES | Oct 30, 2024 |
| Certified by provider | Oct 30, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor Primary | 101Y00000X | 6401016161 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (MI) |
|---|
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Mental Health Counselor |
Medical group
- Jackson-Hillsdale Community Mental Health BoardJackson, MI · 28 clinicians
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