MRS. DEITRA LATRICE FANT MA,NCC,LCPC,LPC
NPI 1699131896
Counselor - Professional in Oxon Hill, MD

Q: What is Deitra Fant's NPI number?

The NPI number for Deitra Fant is 1699131896. It was assigned to this individual provider in the NPPES registry on January 5, 2016.

Q: What is Deitra Fant's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Deitra Fant was last updated on December 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since January 05, 2016

120 WATERFRONT ST STE 420, OXON HILL, MD 20745(703) 857-5354(571) 601-4607 Get Directions Write a Review

NPPES record last updated: December 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 29, 2025, Feb 16, 2022, Dec 28, 2021 and 3 more (6 updates tracked since 2020).

On this page

About Mrs. Deitra Latrice Fant Ma,ncc,lcpc,lpc NPPES

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

MRS. DEITRA LATRICE FANT MA,NCC,LCPC,LPC (NPI 1699131896) is an individual professional provider in Oxon Hill, Maryland, licensed in Maryland (LC10267) and active in the NPI registry since January 2016.

NPPES Registry Identity

NPI1699131896

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMRS. DEITRA LATRICE FANTCredential: MA,NCC,LCPC,LPC

Location Address120 WATERFRONT ST STE 420Oxon Hill, MD 20745-1122

Mailing Address120 Waterfront St Ste 420Oxon Hill, MD 20745-1122 · (703) 857-5354 · Fax (571) 601-4607

Phone(703) 857-5354

Fax(571) 601-4607

Sole ProprietorYes

Enumeration DateJanuary 5, 2016

Last NPPES UpdateDecember 29, 20256 updates tracked since enumeration

NPPES CertifiedDecember 29, 2025

✔ NPI 1699131896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

Licenses✔ Licensed in MD · LC10267✔ Licensed in DC · PRC15297✔ Licensed in VA · 0701009874✔ Licensed in LA · 08861

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License LC10267 (MD)

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

Also ListedCommunity Health WorkerTaxonomy 172V00000X

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X

Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X

Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X

Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X

120 WATERFRONT ST STE 420, Oxon Hill, MD 20745

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Other Identifiers 3

Medicaid566703141985MD

Medicaid566703141985DC

Medicaid20731MD

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 9

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

IRONWOOD LIVING LLC

Day Training, Developmentally Disabled Services

120 WATERFRONT ST STE 420
NATIONAL HARBOR, MD 20745

Prince George's County (703) 828-4340

COORDINATING CONSULTANTS

Case Management

120 WATERFRONT ST STE 420
NATIONAL HARBOR, MD 20745

Prince George's County (301) 202-2003

CONNECT TO CARE COUNSELING SERVICES, LLC

Counselor (Professional)

120 WATERFRONT ST STE 420
OXON HILL, MD 20745

Prince George's County (703) 857-5354

MRS. SHELLEE WILSON RN, IBCLC

Registered Nurse (Lactation Consultant)

120 WATERFRONT ST STE 420, #2041
NATIONAL HARBOR, MD 20745

Prince George's County (301) 200-0059

WILLIAM KIMMINS LPC

Counselor (Mental Health)

120 WATERFRONT ST STE 420
NATIONAL HARBOR, MD 20745

Prince George's County (410) 635-1294

LIBIDO HEALTH INC.

Counselor (Mental Health)

120 WATERFRONT ST STE 420
OXON HILL, MD 20745

Prince George's County (301) 960-8537

NIRVANA MENTAL HEALTHCARE SERVICES INC

Nurse Practitioner (Psychiatric/Mental Health)

120 WATERFRONT ST STE 420
NATIONAL HARBOR, MD 20745

Prince George's County (240) 647-8262

JESSICA MARTIN-MERCADO

Registered Nurse (Case Management)

120 WATERFRONT ST STE 420
OXON HILL, MD 20745

Prince George's County (646) 342-4631

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 Deitra Fant's NPI number?

The NPI number for Deitra Fant is 1699131896. It was assigned to this individual provider in the NPPES registry on January 5, 2016.

Where is Deitra Fant located?

Deitra Fant practices at 120 Waterfront St Ste 420, Oxon Hill, MD 20745. The listed phone number is (703) 857-5354.

What is Deitra Fant's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

What insurance does Deitra Fant accept?

Health plans from UnitedHealthcare list Deitra Fant as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Deitra Fant was last updated on December 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.