Diversity Counseling Associates, LLC

Primary specialty

Professional CounselorTaxonomy code 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

Last updated

Mar 18, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sam Okanume, LCPC, LPC, MAC, LSWANPI 1558732206

Title

Ceo

Phone

(301) 814-3764

Specialties & licenses 1

Addresses

Electronic endpoints 6

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sam Okanume

  • Professional Counselor
  • Hyattsville, MD
  • NPI 1558732206
  NPD Authorized official
• Deora Kaye Johnson, DNP, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
  • NPI 1336139278
  NPD (past)

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

{
    "created_epoch": "1584489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584489600000",
    "number": "1801422100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14111 MARY BOWIE PKWY",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207748572",
            "telephone_number": "301-814-3764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 MERCANTILE LN STE 129-17",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207745327",
            "telephone_number": "301-814-3764",
            "fax_number": "240-770-6916"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6108 Old Silver Hill Rd Ste 217",
            "address_purpose": "LOCATION",
            "city": "District Heights",
            "state": "MD",
            "postal_code": "207472150",
            "country_code": "US",
            "telephone_number": "240-232-5255",
            "fax_number": "240-770-6916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DIVERSITY COUNSELING ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-18",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A",
        "authorized_official_last_name": "OKANUME",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-814-3764",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCPC, LPC, MAC, LSWA"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "diversitycounselingassociates@gmail.com",
            "affiliation": "N",
            "endpointDescription": "e-mail",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "e-mail",
            "address_1": "1300 Mercantile Ln Ste 129-17",
            "city": "Largo",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207745327",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "diversitycounselingassociates@gmail.com",
            "affiliation": "N",
            "endpointDescription": "e-mail",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "e-mail",
            "address_1": "1300 Mercantile Ln Ste 129-17",
            "city": "Largo",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207745327",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "diversitycounselingassociates@gmail.com",
            "affiliation": "N",
            "endpointDescription": "e-mail",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "e-mail",
            "address_1": "1300 Mercantile Ln Ste 129-17",
            "city": "Largo",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207745327",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "diversitycounselingassociates@gmail.com",
            "affiliation": "N",
            "endpointDescription": "e-mail",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "e-mail",
            "address_1": "1300 Mercantile Ln Ste 129-17",
            "city": "Largo",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207745327",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "diversitycounselingassociates@gmail.com",
            "affiliation": "N",
            "endpointDescription": "e-mail",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "e-mail",
            "address_1": "1300 Mercantile Ln Ste 129-17",
            "city": "Largo",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207745327",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "diversitycounselingassociates@gmail.com",
            "affiliation": "N",
            "endpointDescription": "e-mail",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "e-mail",
            "address_1": "1300 Mercantile Ln Ste 129-17",
            "city": "Largo",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207745327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Professional Counselor in Largo, MD
• Providers in Largo, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2020; 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.