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RANDOLPH AUGUSTEEN JR DESTIN LMHC
NPI 1679010938
Counselor - Mental Health in Bronx, NY

Active since January 25, 2017PECOS Enrolled
1910 ARTHUR AVE, BRONX, NY 10457(718) 466-8438(718) 731-2453 Get Directions Write a Review

NPPES record last updated: January 21, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 21, 2026, Jan 25, 2017 (2 updates tracked since 2017).

About Randolph Augusteen Jr Destin Lmhc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RANDOLPH AUGUSTEEN JR DESTIN LMHC (NPI 1679010938) is an individual mental health provider in Bronx, New York, licensed in New York (016841-01) and active in the NPI registry since January 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1679010938
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameRANDOLPH AUGUSTEEN JR DESTINCredential: LMHC
Location Address1910 ARTHUR AVEBronx, NY 10457-6305
Mailing Address1910 Arthur AveBronx, NY 10457-6305 · (718) 466-8438 · Fax (718) 731-2453
Phone(718) 466-8438
Fax(718) 731-2453
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateJanuary 25, 2017
Last NPPES UpdateJanuary 21, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 21, 2026
✔ NPI 1679010938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NY · 016841-01
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 17516 (NY)
1910 ARTHUR AVE, Bronx, NY 10457
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Randolph Augusteen Jr Destin Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3577041797
PECOS Enrollment IDI20260129002721
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Randolph Destin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Randolph Destin Lmhc PLLC
12 mi
Mental Health
32 COURT ST STE 904
Brooklyn, NY 11201
  • Reassigned Medicare billing, New York enrollment
NPI 1831033570 (347) 377-2341
Supportive Care Psychology Of Ny PC
53 mi
Clinical
27 RANDOLPH RD
Howell, NJ 07731
  • Reassigned Medicare billing, New York enrollment
  • 156 clinicians in this Medicare group
NPI 1104315068 (718) 298-4375

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. SHARON ROSE WADE LMSW
Social Worker (Clinical)
1910 ARTHUR AVE
BRONX, NY 10457
Bronx County (718) 466-8657
ILUMINADA LEGASPI
Registered Nurse (Addiction (Substance Use Disorder))
1910 ARTHUR AVE
BRONX, NY 10457
Bronx County (718) 466-8961
LAURETTE RAMSEY CASAC-T
Counselor (Addiction (Substance Use Disorder))
1910 ARTHUR AVE
BRONX, NY 10457
Bronx County (718) 466-8071
LATRICIA MENEFEE
Licensed Practical Nurse
1910 ARTHUR AVE
BRONX, NY 10457
Bronx County (718) 466-8961
ADA RIVERA
Counselor (Addiction (Substance Use Disorder))
1910 ARTHUR AVE
BRONX, NY 10457
Bronx County (718) 583-5150
BRITTANY SLOAT
Social Worker (Clinical)
1910 ARTHUR AVE
BRONX, NY 10457
Bronx County (718) 466-8034
MR. ERIC IGLESIAS CASAC-T
Counselor (Addiction (Substance Use Disorder))
1910 ARTHUR AVE
BRONX, NY 10457
Bronx County (718) 583-5150
CHADWIN REYNOLDS
Counselor (Professional)
1910 ARTHUR AVE
BRONX, NY 10457
Bronx County (718) 583-5150

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Randolph Destin's NPI number?

The NPI number for Randolph Destin is 1679010938. It was assigned to this individual provider in the NPPES registry on January 25, 2017.

Where is Randolph Destin located?

Randolph Destin practices at 1910 Arthur Ave, Bronx, NY 10457. The listed phone number is (718) 466-8438.

What is Randolph Destin's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Randolph Destin enrolled in Medicare?

Yes. Randolph Destin is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Randolph Destin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Randolph Destin reassigns Medicare benefits to 2 organizations: Randolph Destin Lmhc PLLC (Brooklyn, NY) and Supportive Care Psychology Of Ny PC (Howell, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Randolph Destin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Randolph Destin was last updated on January 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.