Active NPI
Randolph Augusteen Jr Destin, LMHC
- Mental Health Counselor
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 016841-01
- Practice address
- 1910 Arthur Ave
Bronx, NY 10457-6305 - Phone
- (718) 466-8438
- Fax
- (718) 731-2453
- NPI assigned
- Jan 25, 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 17516 | NY | |
| Mental Health Counselor | 101YM0800X | 016841-01 | NY | Primary |
Addresses
Primary practice location
1910 Arthur Ave
Bronx, NY 10457-6305
Mailing address
1910 Arthur Ave
Bronx, NY 10457-6305
Phone (718) 466-8438
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
27 Randolph Rd
Howell, NJ 07731-8611
295 Maple St
Apt 2C
Brooklyn, NY 11225-5143
295 Maple St Apt
2C
Brooklyn, NY 11225-5146
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17516 | NY | MD | Addiction (Substance Use Disorder) Counselor |
| 016841-01 | NY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Randolph Destin LMHC PLLC | Mental Health | Current | Accepting new patients |
| Supportive Care Psychology of Ny PC | Single Specialty | Current | Accepting new patients |
Locations
27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951
32 Court St
Ste 904
Brooklyn, NY 11201
Phone (718) 373-2563
1410 Seagirt Blvd
Far Rockaway, NY 11691
Phone (516) 353-3387
7810 164th St
Fresh Meadows, NY 11366
Phone (718) 429-2200
170 Lake St
Liberty, NY 12754
Phone (845) 292-4200
330 Chestnut St
Oneonta, NY 13820
Phone (607) 432-8500
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- Brooklyn, NY
- NPI 1831033570
-
- Clinical Psychologist
- Howell, NJ
- NPI 1104315068
NY, Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768953600000",
"number": "1679010938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1910 ARTHUR AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104576305",
"telephone_number": "718-466-8438",
"fax_number": "718-731-2453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1910 ARTHUR AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104576305",
"telephone_number": "718-466-8438",
"fax_number": "718-731-2453"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESTIN",
"first_name": "RANDOLPH",
"middle_name": "AUGUSTEEN JR",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-01-25",
"last_updated": "2026-01-21",
"certification_date": "2026-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NY",
"license": "17516",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "016841-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.