MR. RANDOLPH IRVIN AUSTIN JR. (NPI# 1548781511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548781511 |
| Entity Type | Individual |
| Full Name | MR. RANDOLPH IRVIN AUSTIN JR. |
| Practice Address |
3819 Harbor Rd Unit 103 Chesapeake Beach MD 20732-3110 |
| Mailing Address |
Po Box 980 Prince Frederick MD 20678-0980 |
| Practice Telephone | 4102860547 |
| Practice Fax Number | 4102868950 |
| Mailing Telephone | 4105353079 |
| Mailing Fax Number | 4105352220 |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2017-06-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
MD | Behavioral Health & Social Service Providers |
| Street Address |
3819 HARBOR RD UNIT 103 |
| City | CHESAPEAKE BEACH |
| State | MD |
| Zip Code | 20732-3110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891150801 | Christen D Sneed | Counselor | 3819 Harbor Rd Unit 103, Chesapeake Beach, MD 20732-3110 | 2015-12-17 |
| 1306476841 | Courtney Sutton | Student in an Organized Health Care Education/Training Program | 3819 Harbor Rd Unit 103, Chesapeake Beach, MD 20732-3110 | 2020-01-23 |
| 1982251831 | Lily Brefo | Counselor | 3819 Harbor Rd Unit 103, Chesapeake Beach, MD 20732-3110 | 2019-08-23 |
| 1790289726 | Danielle Reumont | Counselor | 3819 Harbor Rd Unit 103, Chesapeake Beach, MD 20732-3110 | 2018-03-23 |
| 1982123261 | Calvert County Health Department | Clinic/Center | 3819 Harbor Rd Unit 103, Chesapeake Beach, MD 20732-3110 | 2017-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831708411 | Troy Nathan Thayer | Dentist | 1065 W Perimeter Rd J, Joint Base Andrews Air Force Base, Apo, AE 20732 | 2020-07-29 |
| 1639677339 | Sophia Carlton | Social Worker | District Center for Wellness, 201 4th St Se, Washington, DC 20732 | 2018-01-28 |
| 1578902078 | April Lynne Arford | Day Training, Developmentally Disabled Services | 8049 Windward Key Drive, Chesapeake Beach, MD 20732 | 2013-06-18 |
| 1215916598 | Calvert Substance Abuse Services - Beach | Substance Abuse Rehabilitation Facility | 3819 Harbor Rd., Suite 103, Chesapeake Beach, MD 20732 | 2006-01-13 |
| 1003899873 | Timothy Joseph O'leary | Pathology | 4755 Camp Roosevelt Drive, Chesapeake Beach, MD 20732 | 2005-11-24 |
| 1326401894 | Gwendolyn Redden | Physical Therapist | 8420 Bayside Rd, Chesapeake Beach, MD 20732 | 2016-04-01 |
| 1336505676 | Rebecca Mae Johnson | Specialist/Technologist | 8214 Elm Ln, Elm Lane, Chesapeake Beach, MD 20732-3018 | 2015-12-31 |
| 1871839308 | Vanessa Payne | Counselor | 3819 Harbor Rd, 103, Chesapeake Beach, MD 20732-3109 | 2013-01-03 |
| 1245782002 | Nimat Gawhar | Counselor | 3819 Harbor Rd, Chesapeake Beach, MD 20732-3109 | 2016-10-27 |
| 1962850743 | Calvert County Health Department | Clinic/Center | 3819 Harbor Rd, Suite 103, Chesapeake Beach, MD 20732-3109 | 2016-06-02 |
| Find all providers in zip 20732 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790289726 | Danielle Reumont | Counselor | 3819 Harbor Rd Unit 103, Chesapeake Beach, MD 20732-3110 | 2018-03-23 |
| 1245782002 | Nimat Gawhar | Counselor | 3819 Harbor Rd, Chesapeake Beach, MD 20732-3109 | 2016-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861091522 | Choices Integrated Healthcare | Counselor | 1600 Bush St, Baltimore, MD 21230-2021 | 2020-10-22 |
| 1831706068 | James Simmons | Counselor | 975 Solomons Island Rd N # 119, Prince Frederick, MD 20678-3917 | 2020-10-01 |
| 1730791609 | Tony C Shaw | Counselor | 2814 W Garrison Ave, Baltimore, MD 21215-5335 | 2020-08-20 |
| 1134739600 | Crystal Yolanda Mason | Counselor | 10006 Antium Way, Owings Mills, MD 21117-4069 | 2020-08-08 |
| 1023628849 | Delores Jordan | Counselor | 2640 Oswego Ave, Baltimore, MD 21215-7037 | 2020-08-06 |
| 1588274773 | Positive Reinforcements Inc. | Counselor | 30260 Mount Vernon Rd Unit 6, Princess Anne, MD 21853-2202 | 2020-08-03 |
| 1073122511 | Rasheed Badmus | Counselor | 46 Solar Cir Apt A, Parkville, MD 21234-6831 | 2020-07-30 |
| 1144838277 | Guiding Lives | Counselor | 6305 Belair Rd, Baltimore, MD 21206-1817 | 2020-07-15 |
| 1750908943 | New Life Services LLC. | Counselor | 3600 W Mulberry St, Baltimore, MD 21229-2928 | 2020-07-03 |
| 1801413422 | Karena Tinika Lee | Counselor | 1336 Homestead St, Baltimore, MD 21218-3624 | 2020-06-30 |
| Find all providers with the same taxonomy | ||||
| City | CHESAPEAKE BEACH |
| Zip Code | 20732 |
Please comment or provide details below to improve the information on MR. RANDOLPH IRVIN AUSTIN JR..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.