Debra Joyce Johnson, MS., NCC, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LC3809 Issued in MD

Practice address

1401 Mercantile LN
Suite 200-Q
Largo, MD 20774-4301

Phone

(443) 418-8614

Fax

(301) 322-9199

NPI assigned

Jan 7, 2011

Last updated

Aug 13, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Changing Generational Legacies,LLC

  • Professional Counselor
  • Largo, MD
  • NPI 1598012155
  NPD (past) Authorized official

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

{
    "created_epoch": "1294358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344816000000",
    "number": "1932403714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 MERCANTILE LN",
            "address_2": "SUITE 200-Q",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207744301",
            "telephone_number": "443-418-8614",
            "fax_number": "301-322-9199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 MERCANTILE LN",
            "address_2": "SUITE 200-Q",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207744301",
            "telephone_number": "443-418-8614",
            "fax_number": "301-322-9199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DEBRA",
        "middle_name": "JOYCE",
        "name_prefix": "Ms.",
        "credential": "MS., NCC, LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-07",
        "last_updated": "2012-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC3809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "040457800",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "AC04",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan E Jenkins, M.D
• Elisabeth Jiang, MD
• John W Bedeau, MD PC
• Carl Johnson, MD
• Cynthia Johnson, LDN
• Emily Stratford Johnson, MD
• Barbara Jones, LCSW-C
• Christina Jones, PMHNP-BC
• Jalyn Nycole Jones
• Lawrence Terrel Jones, LCPC

• Professional Counselor in Largo, MD
• Providers in Largo, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; 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.