Diversity Counseling Associates, LLC
Organization Active NPI Professional Counselor · Largo, MD
NPI 1801422100 · NPPES record last updated Mar 18, 2020
Key facts
- NPI
- 1801422100
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Professional Counselor 101YP2500X
- Legal business name
- DIVERSITY COUNSELING ASSOCIATES, LLC
- Practice address
- 1300 Mercantile LN Ste 129-17
Largo, MD 20774-5327 - Phone
- (301) 814-3764
- Fax
- (240) 770-6916
- NPI assigned
- Mar 18, 2020
- Organization subpart
- No
Authorized official
- Name
- Dr. Sam Okanume, LCPC, LPC, MAC, LSWA
- Title
- Ceo
- Phone
- (301) 814-3764
Practitioners 2
-
Deora Kaye Johnson, DNP, CRNP
National Provider Directory
Locations
6108 Old Silver Hill Rd
Ste 217
District Heights, MD 20747
Phone (240) 232-5255
1300 Mercantile Ln
Ste 12917
Largo, MD 20774
Phone (240) 619-0590
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor |
101YP2500X | Yes |
Addresses
Primary practice location
1300 Mercantile LN Ste 129-17
Largo, MD 20774-5327
Mailing address
14111 Mary Bowie Pkwy
Upper Marlboro, MD 20774-8572
Phone (301) 814-3764
Other practice location 1
6108 Old Silver Hill Rd Ste 217
District Heights, MD 20747-2150
Phone (240) 232-5255
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 129376100 | Medicaid | MD |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | diversitycounselingassociates@gmail.com | Health Information Exchange (HIE) | |
| Other URL | diversitycounselingassociates@gmail.com | Health Information Exchange (HIE) | |
| Other URL | diversitycounselingassociates@gmail.com | Health Information Exchange (HIE) | |
| Other URL | diversitycounselingassociates@gmail.com | Health Information Exchange (HIE) | |
| Other URL | diversitycounselingassociates@gmail.com | Health Information Exchange (HIE) | |
| Other URL | diversitycounselingassociates@gmail.com | Health Information Exchange (HIE) |
Other providers in Largo, MD
- Dimensions Health Corporation
- Dimensions Healthcare Associates
- Dimensions Healthcare Associates
- Dimensions Healthcare Associates, Inc.
- Distinctive Home Care
- Abiodun Mary Dixon
- Karen M Dixon
- DLC Distributors, LLC
- DME & Supplies LLC
- Dot'S Therapeutic Counseling Services, LLC
All providers in Largo, MD · Professional Counselor in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.