Active NPI
Da'Keisha Molique Johnson, MA, LCPC-S
- Professional Counselor
- Lanham, MD
National Provider Identifier
1487126132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC8139
- Practice address
- 4200 Forbes Blvd Ste 208
Lanham, MD 20706-4823 - Phone
- (240) 709-6557
- NPI assigned
- Dec 19, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LC8139 | MD | Primary |
Addresses
Primary practice location
4200 Forbes Blvd Ste 208
Lanham, MD 20706-4823
Mailing address
4200 Forbes Blvd Ste 208
Lanham, MD 20706-4823
Phone (240) 709-6557
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC8139 | MD | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Transformation in Color, LLC | Professional | Current | Accepting new patients |
Locations
4200 Forbes Blvd
Ste 208
Lanham, MD 20706
Phone (240) 709-6557
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.
-
- Professional Counselor
- Lanham, MD
- NPI 1780351890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629849600000",
"number": "1487126132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4200 FORBES BLVD STE 208",
"city": "LANHAM",
"state": "MD",
"postal_code": "207064823",
"telephone_number": "240-709-6557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4200 FORBES BLVD STE 208",
"city": "LANHAM",
"state": "MD",
"postal_code": "207064823",
"telephone_number": "240-709-6557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "DA'KEISHA",
"middle_name": "MOLIQUE",
"name_prefix": "Mrs.",
"credential": "MA, LCPC-S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-19",
"last_updated": "2021-08-25",
"certification_date": "2021-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC8139",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lanham, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.