Individual provider Active NPI

James Grayson Johnson III, M.A.

  • Professional Counselor
  • Hyattsville, MD
National Provider Identifier
1770740730
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC1657 Issued in MD
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

Updated by the provider on May 19, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241016003335 DC Practitioner - Mental Health Counselor 6103358080 Reassigns benefits to 1 organization

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.Group PAC ID 3476647264, shared by 23 NPIs, 151 clinicians

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

LicenseStateTypeSpecialty
LC1657MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Whitman-Walker Clinic Inc. CurrentSince Aug 3, 2024 Accepting new patients
Whitman-Walker Clinic, Inc CurrentSince Aug 3, 2024 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.

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

Verify at the official NPI Registry.