Active NPI
James Grayson Johnson III, M.A.
- Professional Counselor
- Hyattsville, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC1657
- Practice address
- 4103 Longfellow St
Hyattsville, MD 20781-1748 - Phone
- (301) 565-4157
- NPI assigned
- May 19, 2008
- Sex
- Male
- 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 | LC1657 | MD | Primary |
Addresses
Primary practice location
4103 Longfellow St
Hyattsville, MD 20781-1748
Mailing address
4103 Longfellow St
Hyattsville, MD 20781-1748
Phone (301) 565-4157
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- 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, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Unity Health Care Inc.
Practice addresses (Care Compare)
3020 14TH St NW
Washington, DC 20009-6865
Phone (202) 745-4300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC1657 | MD | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Whitman-Walker Clinic Inc. | Current | Accepting new patients | |
| Whitman-Walker Clinic, Inc | Current | Accepting new patients |
Locations
1701 14th St NW
Washington, DC 20009
Phone (202) 745-7000
1734 14th St NW
Washington, DC 20009
Phone (202) 939-7801
1377 R St NW
Fl 2
Washington, DC 20009
Phone (202) 745-7000
1377 R St NW
Washington, DC 20009
Phone (202) 745-7000
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)
- Washington, DC
- NPI 1184616617
-
- Community/Retail Pharmacy
- Washington, DC
- NPI 1003316316
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211155200000",
"number": "1770740730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4103 LONGFELLOW ST",
"city": "HYATTSVILLE",
"state": "MD",
"postal_code": "207811748",
"telephone_number": "301-565-4157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4103 LONGFELLOW ST",
"city": "HYATTSVILLE",
"state": "MD",
"postal_code": "207811748",
"telephone_number": "301-565-4157"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "JAMES",
"middle_name": "GRAYSON",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-19",
"last_updated": "2008-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC1657",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hyattsville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; 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.