Active NPI
Ayana Johnson, LCPC, MA
- Mental Health Counselor
- Baltimore, MD
National Provider Identifier
1548727308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LC11377
- Practice address
- 3319 W Belvedere Ave
Baltimore, MD 21215-5143 - Phone
- (443) 884-7648
- NPI assigned
- Feb 27, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LGP8016 | MD | |
| Mental Health Counselor | 101YM0800X | LC11377 | MD | Primary |
Addresses
Primary practice location
3319 W Belvedere Ave
Baltimore, MD 21215-5143
Mailing address
2 Pomona W Apt 5
Pikesville, MD 21208-3441
Phone (443) 852-4799
Other practice location 1
6940 Tudsbury Rd
Windsor Mill, MD 21244-2674
Phone (410) 277-8910
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6901 Security Blvd
Suite 200
Windsor Mill, MD 21244-2412
Phone (410) 837-2050
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LGP8016 | MD | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chase Brexton Health Services, Inc. | Mental Health | Current | Accepting new patients |
| Chase Brexton Health Services, Inc. | Current | Accepting new patients |
Locations
1111 N Charles St
Baltimore, MD 21201
Phone (410) 486-5991
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Baltimore, MD
- NPI 1588606305
-
- Federally Qualified Health Center (FQHC)
- Columbia, MD
- NPI 1376589309
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677801600000",
"number": "1548727308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 POMONA W APT 5",
"city": "PIKESVILLE",
"state": "MD",
"postal_code": "212083441",
"telephone_number": "443-852-4799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3319 W BELVEDERE AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212155143",
"telephone_number": "443-884-7648"
}
],
"practiceLocations": [
{
"address_1": "6940 Tudsbury Rd",
"address_purpose": "LOCATION",
"city": "Windsor Mill",
"state": "MD",
"postal_code": "212442674",
"country_code": "US",
"telephone_number": "410-277-8910",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "AYANA",
"credential": "LCPC, MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-27",
"last_updated": "2023-03-03",
"certification_date": "2023-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": "LGP8016",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": "LC11377",
"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 Mar 3, 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.