Individual provider Active NPI

Randolph Augusteen Jr Destin, LMHC

  • Mental Health Counselor
  • Bronx, NY
National Provider Identifier
1679010938
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
016841-01 Issued in NY
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

Updated by the provider on Jan 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 17516 NY
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260129002721 NY Practitioner - Mental Health Counselor 3577041797 Reassigns benefits to 2 organizations

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

LicenseStateTypeSpecialty
17516NYMDAddiction (Substance Use Disorder) Counselor
016841-01NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Randolph Destin LMHC PLLC Mental Health Current Accepting new patients
Supportive Care Psychology of Ny PC Single Specialty CurrentSince Nov 22, 2025 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.

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

Verify at the official NPI Registry.