Individual provider Active NPI

Kayla Dannielle Johnson

  • Marriage & Family Therapist
  • Columbia, MD
National Provider Identifier
1265124531
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LGM951 Issued in MD
Practice address
6440 Dobbin Rd Ste D
Columbia, MD 21045-4770
Phone
(410) 730-2385
NPI assigned
May 24, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LGM951 MD Primary

Addresses

Primary practice location

6440 Dobbin Rd Ste D
Columbia, MD 21045-4770

Mailing address

1303 Teresa Dr
Accokeek, MD 20607-2215
Phone (859) 213-6630

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

State licenses

LicenseStateTypeSpecialty
LGM951MDMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
MPB Group Inc CurrentSince May 28, 2023 Accepting new patients
MPB Group Inc PastSince May 28, 2023 Accepting new patients

Locations

6440 Dobbin Rd
Ste D
Columbia, MD 21045
Phone (410) 673-4313

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1684886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1265124531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 TERESA DR",
            "city": "ACCOKEEK",
            "state": "MD",
            "postal_code": "206072215",
            "telephone_number": "859-213-6630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6440 DOBBIN RD STE D",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210454770",
            "telephone_number": "410-730-2385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KAYLA",
        "middle_name": "DANNIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-24",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MD",
            "license": "LGM951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; 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.