Individual provider Active NPI

Anjalissa D Johnson, LCADC, SAP, MAC

  • Addiction (Substance Use Disorder) Counselor
  • Sparks Glencoe, MD
National Provider Identifier
1891191052
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
LCA3226 Issued in MD
Practice address
14 Rainflower Path Unit 201
Sparks Glencoe, MD 21152-8792
Phone
(443) 983-5001
NPI assigned
Nov 14, 2014
Last updated
Jun 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LCA3226 MD Primary

Addresses

Primary practice location

14 Rainflower Path Unit 201
Sparks Glencoe, MD 21152-8792

Mailing address

14 Rainflower Path Unit 201
Sparks Glencoe, MD 21152-8792
Phone (443) 983-5001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250306000811 MD Practitioner - Mental Health Counselor 8729509799 Reassigns benefits to 2 organizations
Practice locations: Cockeysville, MD
I20260209000998 DC Practitioner - Mental Health Counselor 8729509799 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

849 Fairmont Ave
Towson, MD 21286-2624

849 Fairmont Ave
FL. 5
Towson, MD 21286

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCA3226MDMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mosaic Community Services, Inc. Current Accepting new patients
Mosaic Community Services, Inc CurrentSince Dec 1, 2025 Accepting new patients
Mosaic Community Services, Inc Addiction (Substance Use Disorder) CurrentSince Dec 1, 2025 Accepting new patients
Family Services, Inc CurrentSince Jan 1, 2026 Accepting new patients
Family Services, Inc. CurrentSince Jan 1, 2026 Accepting new patients

Locations

2225 N Charles St
Baltimore, MD 21218
Phone (410) 366-4360

210 Abrecht Pl
Frederick, MD 21701
Phone (301) 663-8263

610 E Diamond Ave
Gaithersburg, MD 20877
Phone (301) 840-3200

610 E Diamond Ave
Ste 100
Gaithersburg, MD 20877
Phone (301) 840-2000

328 N Potomac St
Hagerstown, MD 21740
Phone (410) 740-1901

1925 Greenspring Dr
Timonium, MD 21093

1931 Greenspring Dr
Timonium, MD 21093
Phone (410) 938-3464

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1415923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1891191052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 RAINFLOWER PATH UNIT 201",
            "city": "SPARKS GLENCOE",
            "state": "MD",
            "postal_code": "211528792",
            "telephone_number": "443-983-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 RAINFLOWER PATH UNIT 201",
            "city": "SPARKS GLENCOE",
            "state": "MD",
            "postal_code": "211528792",
            "telephone_number": "443-983-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ANJALISSA",
        "middle_name": "D",
        "credential": "LCADC, SAP, MAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-14",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "LCA3226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparks Glencoe, MD

Sources for this page

Verify at the official NPI Registry.