Individual provider Active NPI

Alvin Russell Deskins, MA, LCPC

  • Professional Counselor
  • Marlow Heights, MD
National Provider Identifier
1205473477
Registry record updated Dec 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC5700 Issued in MD
Practice address
4400 Stamp Rd Ste 403
Marlow Heights, MD 20748-6730
Phone
(240) 470-4997
NPI assigned
Dec 5, 2019
Last updated
Dec 5, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X LC5700 MD Primary

Addresses

Primary practice location

4400 Stamp Rd Ste 403
Marlow Heights, MD 20748-6730

Mailing address

5402 Joel LN
Temple Hills, MD 20748-4723
Phone (240) 997-6576

Other practice location 1

5001 Silver Hill Rd Ste 300
Suitland, MD 20746-5274
Phone (240) 470-4997

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LC5700MDMDProfessional Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1575504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575504000000",
    "number": "1205473477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5402 JOEL LN",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207484723",
            "telephone_number": "240-997-6576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 STAMP RD STE 403",
            "city": "MARLOW HEIGHTS",
            "state": "MD",
            "postal_code": "207486730",
            "telephone_number": "240-470-4997"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5001 Silver Hill Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Suitland",
            "state": "MD",
            "postal_code": "207465274",
            "country_code": "US",
            "telephone_number": "240-470-4997",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESKINS",
        "first_name": "ALVIN",
        "middle_name": "RUSSELL",
        "credential": "MA, LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-05",
        "last_updated": "2019-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC5700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlow Heights, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.