Organization Active NPI

Jennifer G. Johnson

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Towson, MD
National Provider Identifier
1841686086
Registry record updated Apr 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
R189440 Issued in MD
Legal business name
JENNIFER G. JOHNSON
Practice address
7801 York Rd Ste 300
Towson, MD 21204-7449
Phone
(410) 337-0720
Fax
(410) 337-0714
NPI assigned
Apr 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2015

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

Authorized official

Name
Jennifer Gail Johnson, PMHNP, B-C, CARN
Title
Psychiatric Nurse Practitioner
Phone
(410) 776-3652

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X R189440 MD Primary

Addresses

Primary practice location

7801 York Rd Ste 300
Towson, MD 21204-7449

Mailing address

7801 York Rd Ste 300
Towson, MD 21204-7449
Phone (410) 337-0720

Other identifiers 1

IdentifierTypeStateIssuer
1184027484MedicaidMD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1428969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429142400000",
    "number": "1841686086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7801 YORK RD STE 300",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047449",
            "telephone_number": "410-337-0720",
            "fax_number": "410-337-0714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7801 YORK RD STE 300",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047449",
            "telephone_number": "410-337-0720",
            "fax_number": "410-337-0714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER G. JOHNSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-14",
        "last_updated": "2015-04-16",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "GAIL",
        "authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "410-776-3652",
        "authorized_official_credential": "PMHNP, B-C, CARN"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MD",
            "license": "R189440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1184027484",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.