Marycynthiagrace Johnsen, LCPC, M.S. , NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LC10498 Issued in MD

Practice address

7214 Calm Sunset
Columbia, MD 21046-3400

Phone

(848) 391-3670

NPI assigned

Aug 19, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1629331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670284800000",
    "number": "1376219287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "M&M BEHAVIORAL HEALTH SOLUTIONS",
            "address_2": "1406 S. CRAIN HIGHWAY, STE. 104",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210613400",
            "telephone_number": "410-766-6624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7214 CALM SUNSET",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210463400",
            "telephone_number": "848-391-3670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSEN",
        "first_name": "MARYCYNTHIAGRACE",
        "name_prefix": "Mrs.",
        "credential": "LCPC, M.S. , NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-19",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC10498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DIRECTOR.MMBHS@MMBHS.COM",
            "affiliation": "Y",
            "endpointDescription": "M&M BEHAVIORAL HEALTH SOLUTIONS",
            "affiliationName": "M&M Behavioral Health Solutions",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1406 Crain Hwy S Ste 104",
            "city": "Glen Burnie",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210614086",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Johns Hopkins University (Jhu - 10710 Charter Drive Ste 310 - Provider Type: 20)
• Johns Hopkins University (Jhu - 8820 Columbia 100 Pkwy Ste 400 -Provider Type: 27-Mental Health)
• Johns Hopkins University (Jhu-5450 Knoll North Dr Ste 300-Provider Type: 20-Physician)
• Johns Hopkins University Office of Capital Region Research
• Mary Johns
• Cheryl M Johnson-Bracey, M.D.
• Barbie Johnson-Lewis, LCSW-C
• Jemel Erika Johnson-Smith, LCSW-C
• Alexandria Marie Johnson
• Alisha Michelle Johnson, LICSW

• Mental Health Counselor in Columbia, MD
• Providers in Columbia, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.

Verify at the official NPI Registry.