Individual provider Active NPI

Shawnna Johnson, MS, LCPC

  • Professional Counselor
  • Edgewood, MD
National Provider Identifier
1912660788
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC16424 Issued in MD
Practice address
2457 Beaver Crossing Rd
Edgewood, MD 21040-1327
Phone
(410) 414-3328
NPI assigned
Oct 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LGP12041 MD
Professional Counselor 101YP2500X LC16424 MD Primary

Addresses

Primary practice location

2457 Beaver Crossing Rd
Edgewood, MD 21040-1327

Mailing address

2457 Beaver Crossing Rd
Edgewood, MD 21040-1327
Phone (410) 414-3328

Other practice location 1

529 Edmund St
Aberdeen, MD 21001-3429
Phone (443) 414-3328

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2003
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

14300 Cherry Lane CT
Suite 108
Laurel, MD 20707-4958

14300 Cherry Lane CT
Suite 108
Laurel, MD 20707-4978

35 Newgate Cir
Smyrn, DE 19977-4039

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LGP12041MDMDMental Health Counselor
LC16424MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Strategic Therapeutic Solutions Professional CurrentSince May 4, 2025 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1634601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1912660788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2457 BEAVER CROSSING RD",
            "city": "EDGEWOOD",
            "state": "MD",
            "postal_code": "210401327",
            "telephone_number": "410-414-3328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2457 BEAVER CROSSING RD",
            "city": "EDGEWOOD",
            "state": "MD",
            "postal_code": "210401327",
            "telephone_number": "410-414-3328"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "529 Edmund St",
            "address_purpose": "LOCATION",
            "city": "Aberdeen",
            "state": "MD",
            "postal_code": "210013429",
            "country_code": "US",
            "telephone_number": "443-414-3328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SHAWNNA",
        "name_prefix": "Mrs.",
        "credential": "MS, LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-19",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LGP12041",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC16424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewood, MD

Sources for this page

Verify at the official NPI Registry.