Active NPI
Marquitta Lynn Duvernay, LCPC
- Professional Counselor
- Largo, MD
National Provider Identifier
1972801272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC3839
- Practice address
- 1400 Mercantile LN
232
Largo, MD 20774-5341 - Phone
- (301) 583-0001
- NPI assigned
- Mar 10, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LC3839 | MD | Primary |
Addresses
Primary practice location
1400 Mercantile LN
232
Largo, MD 20774-5341
Mailing address
4510 Lords Landing Rd
412
Upper Marlboro, MD 20772-2940
Phone (240) 691-9949
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC3839 | MD | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Counseling & Mentoring Services,Inc | Past | Accepting new patients | |
| Community Counseling & Mentoring Services, Inc | Past | Accepting new patients |
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.
-
- Clinic/Center
- Largo, MD
- NPI 1306881057
-
- Clinic/Center
- Largo, MD
- NPI 1942462049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299715200000",
"number": "1972801272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4510 LORDS LANDING RD",
"address_2": "412",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207722940",
"telephone_number": "240-691-9949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 MERCANTILE LN",
"address_2": "232",
"city": "LARGO",
"state": "MD",
"postal_code": "207745341",
"telephone_number": "301-583-0001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUVERNAY",
"first_name": "MARQUITTA",
"middle_name": "LYNN",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-10",
"last_updated": "2011-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC3839",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Largo, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.