Individual provider Active NPI

John Wayne Christopherson, LMSW, LSW, LCDC-I

  • Addiction (Substance Use Disorder) Counselor
  • Mechanicsburg, PA
National Provider Identifier
1912624925
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
5400 Issued in TX
Practice address
2210 Quail Hollow Dr
Mechanicsburg, PA 17055-6078
Phone
(845) 392-0969
NPI assigned
Oct 21, 2022
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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 5400 TX Primary

Addresses

Primary practice location

2210 Quail Hollow Dr
Mechanicsburg, PA 17055-6078

Mailing address

2210 Quail Hollow Dr
Mechanicsburg, PA 17055-6078
Phone (845) 392-0969

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

LicenseStateTypeSpecialty
5400TXMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1666310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1912624925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 QUAIL HOLLOW DR",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170556078",
            "telephone_number": "845-392-0969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 QUAIL HOLLOW DR",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170556078",
            "telephone_number": "845-392-0969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTOPHERSON",
        "first_name": "JOHN",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "LMSW, LSW, LCDC-I",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-21",
        "last_updated": "2025-09-11",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "5400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.