MR. RANDOLPH IRVIN AUSTIN JR.


Address: 3819 Harbor Rd Unit 103, Chesapeake Beach, MD 20732-3110
Phone: 4102860547

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
MD Behavioral Health & Social Service Providers

Office Location

Street Address 3819 HARBOR RD UNIT 103
City CHESAPEAKE BEACH
State MD
Zip Code 20732-3110

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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

Competitor

Search similar providers

City CHESAPEAKE BEACH
Zip Code 20732

Improve Information

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Dataset Information

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.

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