Jeanne Johnson

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LC6022 Issued in MD

Legal business name

JEANNE JOHNSON

Practice address

2209 Nees LN
Silver Spring, MD 20905-4541

Phone

(504) 701-7469

NPI assigned

Jul 28, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Vida Lynne Penn-Pick, LCSW-C

Title

Therapist

Phone

(301) 606-2727

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1438041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438041600000",
    "number": "1821473281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 NEES LN",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209054541",
            "telephone_number": "504-701-7469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2209 NEES LN",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209054541",
            "telephone_number": "504-701-7469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEANNE JOHNSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-28",
        "last_updated": "2015-07-28",
        "status": "A",
        "authorized_official_last_name": "PENN-PICK",
        "authorized_official_first_name": "VIDA",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "301-606-2727",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "MD",
            "license": "LC6022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counselor in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2015; 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.