Active NPI
Alvin Barksdale Jr., CIT-AD
- Mental Health Counselor
- Baltimore, MD
National Provider Identifier
1063933307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LC16783
- Practice address
- 1437 N Luzerne Ave
Baltimore, MD 21213-3756 - Phone
- (443) 455-2530
- NPI assigned
- Jun 27, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LC16783 | MD | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCA2657 | MD |
Addresses
Primary practice location
1437 N Luzerne Ave
Baltimore, MD 21213-3756
Mailing address
1426 N Luzerne Ave
Baltimore, MD 21213-3718
Phone (443) 455-2530
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCA2657 | MD | MD | Addiction (Substance Use Disorder) Counselor |
| LC16783 | MD | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766707200000",
"number": "1063933307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1426 N LUZERNE AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212133718",
"telephone_number": "443-455-2530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1437 N LUZERNE AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212133756",
"telephone_number": "443-455-2530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARKSDALE",
"first_name": "ALVIN",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "CIT-AD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-06-27",
"last_updated": "2025-12-26",
"certification_date": "2025-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": "LC16783",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MD",
"license": "LCA2657",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.