Active NPI
Karen Renee Johnson, LCPC, NCC
- Professional Counselor
- Lanham, MD
National Provider Identifier
1912492117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC12175
- Practice address
- 4601 Presidents Dr
Lanham, MD 20706-4365 - Phone
- (240) 429-7652
- NPI assigned
- Jun 29, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LC12175 | MD | Primary |
Addresses
Primary practice location
4601 Presidents Dr
Lanham, MD 20706-4365
Mailing address
16908 Gohagen Rd
Upper Marlboro, MD 20772
Phone (240) 245-0341
Other practice location 1
16908 Gohagen Rd
Upper Marlboro, MD 20772
Phone (240) 245-0341
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC12175 | MD | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682640000000",
"number": "1912492117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16908 GOHAGEN RD",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "20772",
"telephone_number": "240-245-0341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4601 PRESIDENTS DR",
"city": "LANHAM",
"state": "MD",
"postal_code": "207064365",
"telephone_number": "240-429-7652"
}
],
"practiceLocations": [
{
"address_1": "16908 Gohagen Rd",
"address_purpose": "LOCATION",
"city": "Upper Marlboro",
"state": "MD",
"postal_code": "20772",
"country_code": "US",
"telephone_number": "240-245-0341",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "KAREN",
"middle_name": "RENEE",
"name_prefix": "Mrs.",
"credential": "LCPC, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-29",
"last_updated": "2023-04-28",
"certification_date": "2023-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC12175",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lanham, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.