IndividualActive
Demitri Kornegay
NPI 1417413253 · Professional Counselor · Bowie, MD
Demitri Kornegay is a Professional Counselor provider in Bowie, MD (NPI 1417413253).
Provider details
- NPI number
- 1417413253
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 9050 (MD)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12805 Vicar Woods Ln
Bowie, MD 20720-4770
Phone: (240) 876-3828
Fax: (301) 809-6194
Street-level locationGet directions
Mailing address
12805 Vicar Woods Ln
Bowie, MD 20720-4770
Registry dates
- Enumerated
- 2019-02-18
- Last updated
- 2019-02-18
Frequently asked questions
- What is Demitri Kornegay's NPI number?
- Demitri Kornegay's National Provider Identifier (NPI) is 1417413253, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Demitri Kornegay's specialty?
- Demitri Kornegay is listed in the NPPES registry with a primary specialty of Professional Counselor (Behavioral Health & Social Service Providers).
- Where is Demitri Kornegay located?
- Demitri Kornegay's practice location on file with NPPES is 12805 Vicar Woods Ln, Bowie, MD 20720-4770.
- What is Demitri Kornegay's phone number?
- The practice phone number listed in the NPPES registry for Demitri Kornegay is (240) 876-3828.
- Is Demitri Kornegay's NPI active?
- Yes — Demitri Kornegay's NPI (1417413253) is active in the NPPES registry as of the last update on 2019-02-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.