Active NPI
Tina M. Williams-Johnson, CSC-AD
- Counselor
- Baltimore, MD
National Provider Identifier
1518937440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- SC1302
- Practice address
- 1501 W Saratoga St
Baltimore, MD 21223-1749 - Phone
- (410) 383-3109
- Fax
- (410) 383-3131
- NPI assigned
- Jan 24, 2006
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | SC1302 | MD | Primary |
Addresses
Primary practice location
1501 W Saratoga St
Baltimore, MD 21223-1749
Mailing address
1501 W Saratoga St
Baltimore, MD 21223-1749
Phone (410) 383-3109
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
| License | State | Type | Specialty |
|---|---|---|---|
| SC1302 | MD | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239235200000",
"number": "1518937440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 W SARATOGA ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212231749",
"telephone_number": "410-383-3109",
"fax_number": "410-383-3131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 W SARATOGA ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212231749",
"telephone_number": "410-383-3109",
"fax_number": "410-383-3131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS-JOHNSON",
"first_name": "TINA",
"middle_name": "M.",
"credential": "CSC-AD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-24",
"last_updated": "2009-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MD",
"license": "SC1302",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.