IndividualActive
Mark Randolph, CSAC, CSIT, LADC
NPI 1689454084 · Addiction (Substance Use Disorder) Counselor · Hudson, WI
Provider details
- NPI number
- 1689454084
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- CSAC, CSIT, LADC
- Sex
- Male
- Sole proprietor
- Yes
- License
- 16008-132 (WI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
405 Stageline Rd
Hudson, WI 54016-1793
Phone: (715) 531-6210
Fax: (715) 531-6755
Street-level locationGet directions
Mailing address
405 Stageline Rd
Hudson, WI 54016-1793
Registry dates
- Enumerated
- 2023-10-03
- Last updated
- 2023-10-03
- Certified
- 2023-10-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.