Carl Johnson Jr.

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

PR0937 Issued in MD

Practice address

116 N Paca St
Baltimore, MD 21201-1714

Phone

(240) 501-2929

NPI assigned

Nov 18, 2024

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1731888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1124843859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 N PACA ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011714",
            "telephone_number": "240-501-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 N PACA ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011714",
            "telephone_number": "240-501-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CARL",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-18",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "MD",
            "license": "01914-24-A",
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "MD",
            "license": "PR0937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Briana Johnson
• Briayanna Johnson
• Brittany J Johnson
• Brittany Raquel Johnson, NP
• Brooke Anne Johnson
• Carole Johnson
• Carolyn S. Johnson, LCSW-C, CEAP
• Caron Johnson
• Catherine Anne Johnson, L.C.P.C.
• Charday B Johnson

• Peer Specialist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Peer Specialist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.