Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Jayme T Randle , PRS

Peer Specialist β€’ Massillon, OH

Active NPI 1437700721 Individual Practitioner Male Practitioner
Practice location in NPPES

1680 Nave Rd Se
Massillon, OH 446469604

Call 3308379411 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1680 Nave Rd Se

Massillon, OH 446469604

Telephone 3308379411
Fax 3308374603
Organization at the Same NPPES Address or Phone
Quest Recovery And Prevention Services Facility NPI 1578512752

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Massillon and Ohio

8 active clinicians are listed under Peer Specialist with a practice address in Massillon, OH (3,082 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-05-12
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

License # reported to NPPES OH PRS.007788

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Anya Mack , LISW-S

Social Worker - Clinical

NPI 1376840017

LISWS

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ‘€
Provider Name / Credentials Updated May 12, 2026

Recorded as JAYME RANDLE, PRS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 12, 2026

Peer Specialist (license number reported to NPPES: OH PRS.007788)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 24, 2021

Counselor (license number reported to NPPES: OH CDCA.177447)

βœ…
NPI Profile Active September 27, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 27, 2019

Registered at 1680 NAVE RD SE, MASSILLON, OH 446469604 (Tel: 3308379411)

πŸ“
Business Mailing Address (Initial Record) September 27, 2019

Registered at 625 CLEVELAND AVE NW, CANTON, OH 447021805 (Tel: 3304550374)

πŸ‘€
Provider Name / Credentials (Initial Record) September 27, 2019

Recorded as JAYME RANDLE, CDCA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 27, 2019

Counselor (license number reported to NPPES: OH CDCA171470)

🟒
Initial NPI Registration & Enumeration September 27, 2019

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1437700721
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 27, 2019
Last Update: May 12, 2026
Sole Proprietor: No

Mailing Address

625 Cleveland Ave Nw

Canton, OH 447021805

Phone: 3304550374

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.