Reginald Johnson, CAC-AD

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

AC2781 Issued in MD

Practice address

29466 Pintail Dr Ste 2
Easton, MD 21601-9324

Phone

(302) 339-9900

NPI assigned

Oct 24, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1821715533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 PLEASANT PINE CIR",
            "city": "HARRINGTON",
            "state": "DE",
            "postal_code": "199526412",
            "telephone_number": "302-339-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29466 PINTAIL DR STE 2",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216019324",
            "telephone_number": "302-339-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "REGINALD",
        "credential": "CAC-AD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-24",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "AC2781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.outreachrecovery.com",
            "affiliation": "N",
            "endpointDescription": "website and communication exchange",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "website and communication exchange",
            "address_1": "29466 Pintail Dr Ste 2",
            "city": "Easton",
            "state": "MD",
            "country_code": "US",
            "postal_code": "216019324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Christopher Mark Jobeck, MSPT, DPT
• John W. Serino, DDS, Ms, PA
• Greesh John, M.D
• Ann Capute Johnson, M.ED
• Melissa Dawn Johnson
• Emily Eden Johnston, OTR/L
• Ali Farzan Jon, MD
• Joseph S. Jones, M.D.
• Kendra Darra Jones, L.AC
• Ross Jones

• Addiction (Substance Use Disorder) Counselor in Easton, MD
• Providers in Easton, MD by specialty
• Addiction (Substance Use Disorder) Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.