TEDDY RANDALL
NPI 1225484389
Marriage & Family Therapist in Panama City, FL
NPI Status: Active since May 09, 2016
Contact Information
2711 W 15TH ST
PANAMA CITY, FL
ZIP 32401
Phone: (850) 769-6001
- Individual
- Male
- Marriage & Family Therapist
- Accepts Insurance
- Opted-Out Medicare
About TEDDY RANDALL
This page provides the complete NPI Profile along with additional information for Teddy Randall, a provider established in Panama City, Florida with a medical specialization in Marriage & Family Therapist. The healthcare provider is registered in the NPI registry with number 1225484389 assigned on May 2016. The practitioner's primary taxonomy code is 106H00000X. The provider is registered as an individual and his NPI record was last updated 9 years ago.
- NPI
- 1225484389
- Provider Name
- TEDDY RANDALL
- Other Name
- TED RANDALL
- Other Name Type
- Other Name (5)
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2711 W 15TH ST PANAMA CITY, FL 32401
- Location Phone
- (850) 769-6001
- Mailing Address
- 16 PEBBLE BEACH DR SHALIMAR, FL 32579
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-09-2016
- Last Update Date
- 05-09-2016
- Code Navigator
A marriage and family therapist like Teddy Randall help patients manage problems with their family and other relationships. Marriage and family therapists encourage clients to discuss their emotions and experiences and, develop strategies and skills to change behavior and cope with difficult situations. Many therapists apply cognitive behavioral therapy to help patients understand harmful thoughts, feelings, and also teach patients how to replace them with positive, life-enhancing ones.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Teddy Randall opted out of Medicare effective on 06-17-2024 until 06-17-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Marriage & Family Therapist
- Taxonomy Code
- 106H00000X
- Type
- Behavioral Health & Social Service Providers
- Taxonomy Description
- A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 + Adult Dental+Vision - HMO
- Connect Bronze 0 Indiv Med Deductible - EPO
- Connect Bronze 5500 Indiv Med Deductible - EPO
- Connect Bronze 6500 Indiv Med Deductible Enhanced Diabetes Care - EPO
- Connect Bronze CMS Standard - EPO
- Connect Gold 2000 Indiv Med Deductible - EPO
- Connect Gold 800 Indiv Med Deductible - EPO
- Connect Gold CMS Standard - EPO
- Connect Silver 3600 Indiv Med Deductible - EPO
- Connect Silver 4300 Indiv Med Deductible - EPO
- Connect Silver CMS Standard - EPO
- BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx) - PPO
- BlueOptions Bronze 24J01-04 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - PPO
- BlueOptions Bronze 24J01-06 ($0 Virtual PCP Visits / Rewards) - PPO
- BlueOptions Bronze 24J01-17 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - PPO
- BlueOptions Bronze 24J01-18S (Multilingual Available / Rewards) - PPO
- BlueOptions Gold 24J01-09 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - PPO
- BlueOptions Gold 24J01-12 ($0 Virtual PCP Visits / $15 Labs / Rewards) - PPO
- BlueOptions Gold 24J01-20S ($30 PCP Visits / Multilingual Available / Rewards) - PPO
- BlueOptions Platinum 24J01-05 ($0 Virtual PCP Visits / $0 Labs / $15 PCP Visits / Rewards) - PPO
- BlueOptions Platinum 24J01-08 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - PPO
- BlueOptions Platinum 24J01-21S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) - PPO
- BlueOptions Silver 24J01-03 ($0 Virtual PCP Visits / $0 Labs / Rewards) - PPO
- BlueOptions Silver 24J01-07 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - PPO
- BlueOptions Silver 24J01-19S ($40 PCP Visits / Multilingual Available / Rewards) - PPO
- BlueSelect Bronze (HSA) 1735 (Rewards / $4 Condition Care Rx) - EPO
- BlueSelect Bronze 1449 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - EPO
- BlueSelect Bronze 2139 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - EPO
- BlueSelect Bronze 2139E ($0 Virtual PCP Visits / $50 PCP Visits / Adult Dental & Vision / Rewards) - EPO
- BlueSelect Bronze 2139V ($0 Virtual PCP Visits / $50 PCP Visits / Adult Vision / Rewards) - EPO
- BlueSelect Bronze 2342S ($50 PCP Visits / Multilingual Available / Rewards) - EPO
- BlueCare Bronze (HSA) 24K01-09 (Rewards / $4 Condition Care Rx) - POS
- BlueCare Bronze 24K01-03 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
- BlueCare Bronze 24K01-05 ($0 Virtual PCP Visits / Rewards) - POS
- BlueCare Bronze 24K01-25 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
- BlueCare Bronze 24K01-31S (Multilingual Available / Rewards) - POS
- BlueCare Bronze 24K02-17 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
- BlueCare Bronze 24K02-18 ($0 Virtual PCP Visits / Rewards) - POS
- BlueCare Bronze 24K02-23 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
- BlueCare Bronze 24K02-26S (Multilingual Available / Rewards) - POS
- BlueCare Gold 24K01-08 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - POS
- BlueCare Gold 24K01-10 ($0 Virtual PCP Visits / $15 Labs / Rewards) - POS
- BlueCare Gold 24K01-33S ($30 PCP Visits / Multilingual Available/ Rewards) - POS
- BlueCare Gold 24K02-20 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - POS
- BlueCare Gold 24K02-28S ($30 PCP Visits / Multilingual Available / Rewards) - POS
- BlueCare Platinum 24K01-04 ($0 Virtual PCP Visits / $0 Labs / $15 PCP Visits / Rewards) - POS
- BlueCare Platinum 24K01-07 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - POS
- BlueCare Platinum 24K01-34S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) - POS
- BlueCare Platinum 24K02-15 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - POS
- BlueCare Platinum 24K02-29S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) - POS
- BlueCare Silver 24K01-02 ($0 Virtual PCP Visits / $0 Labs / Rewards) - POS
- Bronze Classic 4700 - EPO
- Bronze Classic Standard - EPO
- Bronze Elite + PCP Saver Plus - EPO
- Gold Classic Standard - EPO
- Gold Elite - EPO
- Gold Elite Saver Plus - EPO
- Secure - EPO
- Silver Classic Standard - EPO
- Silver Elite - EPO
- Silver Simple Chronic Care CKM - EPO
- Silver Simple Diabetes - EPO
- Silver Simple PCP Saver - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 06-17-2024
Opt-Out End Date: 06-17-2026
Eligible to Order and Refer? No
Reviews for TEDDY RANDALL
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 2 | 5 | 4 | 8 | 4 | 3 | 8 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 4 | 5 | 8 | 8 | 8 | 3 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 4 + 5 + 8 + 8 + 8 + 3 + 1 + 6 + 24 = 71 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 71 = 9 | 9 | ||||||||
The NPI number 1225484389 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1982996443 | WILLIAM E.C. MARVIN Individual | Case Manager/Care Coordinator | 2711 W 15TH ST PANAMA CITY, FL 32401 (850) 769-6001 |
| 1184905473 | MRS. LAURA WEBB KNETZER LCSW Individual | Social Worker (Clinical) | 2711 W 15TH ST PANAMA CITY, FL 32401 (850) 769-6001 |
| 1992077481 | MS. JENNIFER SUE THOMAS-SIMMONS L.C.S.W. Individual | Social Worker (Clinical) | 2711 W 15TH ST PANAMA CITY, FL 32401 (850) 769-6001 |
| 1346514981 | NICOLE DANIELLE JONES Individual | Case Manager/Care Coordinator | 2711 W 15TH ST PANAMA CITY, FL 32401 (850) 769-6001 |
| 1437405040 | VICKIE NORTH M.ED. Individual | Counselor | 2711 W 15TH ST PANAMA CITY, FL 32401 (850) 769-6001 |
| 1568719680 | STACIA FULMER-BRITT MSCP Individual | Counselor (Mental Health) | 2711 W 15TH ST PANAMA CITY, FL 32401 (850) 769-6001 |
| 1922355866 | LINDSEY TOWNSEND MSW Individual | Social Worker (Clinical) | 2711 W 15TH ST PANAMA CITY, FL 32401 (850) 769-6001 |
| 1225385123 | GRACE DUARTE Individual | Counselor (Mental Health) | 2711 W 15TH ST PANAMA CITY, FL 32401 (850) 769-6001 |
| 1245587229 | MR. ROBERT JOSEPH FOWLER MSW Individual | Social Worker | 2711 W 15TH ST PANAMA CITY, FL 32401 (850) 769-6001 |
| 1700133675 | KEVIN HAEUSSER Individual | Counselor (Mental Health) | 2711 W 15TH ST PANAMA CITY, FL 32401 (850) 769-6001 |
| 1558619007 | FLORIDA THERAPY SERVICES Organization | Community/Behavioral Health | 2711 W 15TH ST PANAMA CITY, FL 32401 (850) 769-6001 |
| 1518216035 | MRS. KAREN M LAYMON MS Individual | Counselor (Mental Health) | 2711 W 15TH ST PANAMA CITY, FL 32401 (850) 769-6001 |
| 1457624587 | SHARON ELAINE DURHAM ISW Individual | Social Worker (Clinical) | 2711 W 15TH ST PANAMA CITY, FL 32401 (850) 769-6001 |
| 1871846287 | JOHN KEVIN MCCOY M.S. Individual | Counselor (Mental Health) | 2711 W 15TH ST PANAMA CITY, FL 32401 (850) 832-7351 |
| 1366796062 | TWILA ROULHAC Organization | Community/Behavioral Health | 2711 W 15TH ST PANAMA CITY, FL 32401 (850) 769-6001 |
| 1376893172 | MRS. JENNIFER LYNN STEPHENS BSW Individual | Counselor (Mental Health) | 2711 W 15TH ST PANAMA CITY, FL 32401 (850) 769-6001 |
| 1801135165 | MR. JEFFREY TORRELLE PORTER Individual | Counselor (Mental Health) | 2711 W 15TH ST PANAMA CITY, FL 32401 (850) 363-9318 |
| 1942540752 | BRUCE BREEGLE MA Individual | Counselor (Mental Health) | 2711 W 15TH ST PANAMA CITY, FL 32401 (850) 769-6001 |
| 1932449790 | PHILLIP GILLES LPN Individual | Licensed Practical Nurse | 2711 W 15TH ST PANAMA CITY, FL 32401 (850) 769-6001 |
| 1750621322 | CLARISSA SIMS Individual | Counselor (Mental Health) | 2711 W 15TH ST PANAMA CITY, FL 32401 (850) 769-6001 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1225484389, enumerated in the NPI registry as an "individual" on May 09, 2016
The provider is located at 2711 W 15th St Panama City, Fl 32401 and the phone number is (850) 769-6001
The provider's speciality is Marriage & Family Therapist with taxonomy code 106H00000X
The provider might be accepting Accepts: Aetna CVS Health, Cigna Healthcare, Florida Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
No, the provider signed an affidavit on June 17, 2024 to opt-out of the Medicare program. The provider is excluded from the Medicare program until June 17, 2026.
This NPI record was last updated on May 09, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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