Mark Anton Johnson

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

CPRS0103 Issued in DC

Practice address

425 2ND St NW # 2N
Washington, DC 20001-2003

Phone

(202) 783-7343

Fax

(202) 347-5476

NPI assigned

Sep 18, 2023

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1528846839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 2ND ST NW # 2N",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200012003",
            "telephone_number": "202-783-7343",
            "fax_number": "202-347-5476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 2ND ST NW # 2N",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200012003",
            "telephone_number": "202-783-7343",
            "fax_number": "202-347-5476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MARK",
        "middle_name": "ANTON",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-18",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "DC",
            "license": "CPRS0103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynelle Teresa Johnson, MD
• Lynette Johnson, LICSW, LCSW-C, LCSW
• Lynt Johnson, MD
• Mabintu Johnson
• Macee Johnson
• Mark Antonio Johnson, MD
• Mark S. Johnson, M.D.
• Marlene Johnson
• Marlow A Johnson, LICSW
• Marquicia Johnson

• Peer Specialist in Washington, DC
• Providers in Washington, DC by specialty
• Peer Specialist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.