Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Demitri Kornegay

Individual provider Professional Counselor · NPI 1417413253

Demitri Kornegay is a Professional Counselor in Bowie, Maryland. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2019

Practice location Address checks out

12805 Vicar Woods Ln
Bowie, MD 20720-4770
Phone: (240) 876-3828
Fax: (301) 809-6194
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 9050 (MD)

Record details

NPI number1417413253
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 18, 2019
Last updated in NPPESFebruary 18, 2019

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