Mikschal Johanison, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

U01729 Issued in MD

Practice address

120 W Church St
Frederick, MD 21701-7800

Phone

(301) 642-1759

NPI assigned

Jan 2, 2020

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Holistic Family Medicine

  • Acupuncturist
  • Poolesville, MD
  • NPI 1124378625
  Authorized official Same address or phone

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

{
    "created_epoch": "1577923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577923200000",
    "number": "1659910024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 S CARROLL ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217016523",
            "telephone_number": "301-642-1759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W CHURCH ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217017800",
            "telephone_number": "301-642-1759"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8555 16th St Ste 402",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209102802",
            "country_code": "US",
            "telephone_number": "301-642-1759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHANISON",
        "first_name": "MIKSCHAL",
        "name_prefix": "Dr.",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-02",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U01729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND DEPARTMENT OF HEALTH",
            "identifier": "U01729",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jewel Healthcare Services Inc.
• Jim Rose, LCPC, LLC
• Karla Jimenez
• Kendall Noelle Jo, OTR/L
• Joanna Elizabeth Jobin, M.S.
• John L Krumpotich DDS Fagd PA (Amber Meadows Family Dental)
• Jennifer John, D.D.S
• Johns Hopkins Community Physicians (JHCP - 3501 John Simmons St A201)
• Johns Hopkins Community Physicians (JHCP - 195 Thomas Johnson Drive)
• Johns Hopkins Community Physicians (JHCP - 3530 Sugarloaf Parkway)

• Acupuncturist in Frederick, MD
• Providers in Frederick, MD by specialty
• Acupuncturist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2020; 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.