Kevin Grayson Lineberger, LPC

Individual provider Active NPI Professional Counselor · Capitol Heights, MD

NPI 1871440586 · NPPES record last updated Jun 11, 2026

Key facts

NPI
1871440586
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
PRC658 (DC)
Practice address
5413 Brenner St
Capitol Heights, MD 20743-6211
Phone
(202) 345-4831
NPI assigned
Mar 12, 2026
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
208598112MDMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PRC658 DC Yes

Addresses

Primary practice location

5413 Brenner St
Capitol Heights, MD 20743-6211

Mailing address

5413 Brenner St
Capitol Heights, MD 20743-6211
Phone (202) 345-4831

Other providers in Capitol Heights, MD

All providers in Capitol Heights, MD · Professional Counselor in Maryland

Sources for this page

Verify at the official NPI Registry.