RANDA ERICSON – Professional Counselor, NPI 1164238697

RANDA ERICSON is a healthcare provider. based in Brainerd, Minnesota. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. 4731 (MN). The NPI Number for RANDA ERICSON is 1164238697

Main info

Female
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
RANDA ERICSON
NPI
1164238697
Phone
(218) 833-8799
Address
2424 BUSINESS 371
Enumeration Date
9 December 2024
Last Update Date
9 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6123733366
Graduation Year
2019 (7 years ago)
PAC ID
9335625946
Group Practice PAC ID
0840656856
Professional Enrollment ID
I20260114001064
Address ID
MN551092248MA2365XNXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

1,813 MENTAL HEALTH COUNSELOR in MN

Provider Addresses for RANDA ERICSON

  • 2424 BUSINESS 371

    BRAINERD, MN 564018306

    Phone: (218) 833-8799

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-01-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20260114001064IMental Health CounselorMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 56401)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0840656856View full group profile
NameSpecialtyState
Mental Health CounselorMN
Mental Health CounselorMN
Marriage And Family TherapistMN
Mental Health CounselorMN
Clinical PsychologistMN
Mental Health CounselorMN
Marriage And Family TherapistMN
Clinical Social WorkerSD
Clinical PsychologistMN
Nurse PractitionerMN

Reviews

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Frequently asked questions

What is the registry number for RANDA ERICSON?
The registry entry for RANDA ERICSON shows NPI 1164238697.
Quick check: is RANDA ERICSON active?
Public NPPES data shows RANDA ERICSON with an active NPI status right now.
What services align with RANDA ERICSON's listing?
RANDA ERICSON's public classification highlights Professional Counselor. Clinical services aligned with this taxonomy classification.
Which community is linked to RANDA ERICSON?
RANDA ERICSON shows a connection to Brainerd, Minnesota in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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