John Allen Jones, LCADC

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Lansdowne, MD

NPI 1194018630 · NPPES record last updated Oct 30, 2014

Key facts

NPI: 1194018630
Entity type: Individual (NPI type 1)
Primary specialty: Addiction (Substance Use Disorder) Counselor 101YA0400X
License: LCA1785 (MD)
Practice address: 3902 Annapolis Rd
Lansdowne, MD 21227-2249
Phone: (410) 789-2647
Fax: (410) 789-8364
NPI assigned: May 17, 2011
Sex: Male
Sole proprietor: Yes

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 and National Provider Directory roles.

Erica'S Place Inc Substance Abuse Rehabilitation Facility · Baltimore, MD · NPI 1881469070

NPD Authorized official

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
LCA1785	MD	MD	Addiction (Substance Use Disorder) Counselor

Practice roles

Organization	Specialty	Status	New patients
Erica'S Place Inc		Current	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Addiction (Substance Use Disorder) Counselor	101YA0400X	LCA1785	MD	Yes

Addresses

Primary practice location

3902 Annapolis Rd
Lansdowne, MD 21227-2249

Mailing address

8930 Stanford Boulevard
Columbia, MD 21045
Phone (410) 789-2647

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Georgina Sackey

All providers in Lansdowne, MD · Addiction (Substance Use Disorder) Counselor in Maryland

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2014. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.