Active NPI
John Michael Plaster, M.S., CAC-AD
- Addiction (Substance Use Disorder) Counselor
- Baltimore, MD
National Provider Identifier
1013645597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 1101 N Point Blvd Ste 128
Baltimore, MD 21224-3417 - Phone
- (443) 231-3040
- NPI assigned
- Aug 11, 2022
- Last updated
- Aug 11, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | NU | Primary |
Addresses
Primary practice location
1101 N Point Blvd Ste 128
Baltimore, MD 21224-3417
Mailing address
1111 Pine Heights Ave
Baltimore, MD 21229-5211
Phone (323) 636-3710
Other practice location 1
185 Admiral Cochrane Dr Ste 120
Annapolis, MD 21401-7600
Phone (443) 440-5780
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Project Chesapeake, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Substance Abuse Rehabilitation Facility
- East New Market, MD
- NPI 1104709088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660176000000",
"number": "1013645597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 PINE HEIGHTS AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212295211",
"telephone_number": "323-636-3710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 N POINT BLVD STE 128",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212243417",
"telephone_number": "443-231-3040"
}
],
"practiceLocations": [
{
"address_1": "185 Admiral Cochrane Dr Ste 120",
"address_purpose": "LOCATION",
"city": "Annapolis",
"state": "MD",
"postal_code": "214017600",
"country_code": "US",
"telephone_number": "443-440-5780",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PLASTER",
"first_name": "JOHN",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "M.S., CAC-AD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-08-11",
"last_updated": "2022-08-11",
"certification_date": "2022-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.