Noelle G. Johnson, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LC13758 Issued in MD

Practice address

4316 Seidel Ave
Baltimore, MD 21206-6429

Phone

(410) 240-4174

NPI assigned

Feb 22, 2022

Last updated

Jun 21, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Produce Opportunities Which Embrace Rehabilitation Power LLC

  • Community/Behavioral Health Agency
  • Baltimore, MD
  • NPI 1922754639
  Medicare reassignment NPD Authorized official
• Produce Opportunities Which Embrace Rehabilitation Power LLC

  • Substance Abuse Rehabilitation Facility
  • Baltimore, MD
  • NPI 1205640844
  NPD Authorized official

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

{
    "created_epoch": "1645488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1366198061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4316 SEIDEL AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212066429",
            "telephone_number": "410-240-4174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4316 SEIDEL AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212066429",
            "telephone_number": "410-240-4174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "NOELLE",
        "middle_name": "G.",
        "name_prefix": "Ms.",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-22",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC13758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natasha Johnson
• Nhi-Jee Johnson
• Nia Nicole Johnson, MA
• Nicole Yvonne Johnson, M.D.
• Noah Grace Johnson
• Nora Johnson, CAC-AD
• Pamela Penina Johnson, CRNP-PMH
• Pamela Tecce Johnson, MD
• Patricia Louise Johnson, R.N.
• Peter Gustave Johnson

• Professional Counselor in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.