Individual provider Active NPI

Ron C Johnson, LGPC, NCC

  • Mental Health Counselor
  • Waldorf, MD
National Provider Identifier
1942722970
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LGP7904 Issued in MD
Practice address
11680 Doolittle Dr Ste 103
Waldorf, MD 20602-3802
Phone
(240) 607-2756
NPI assigned
Jul 11, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 LGPC00256 DC
Mental Health Counselor 101YM0800X LGP7904 MD Primary

Addresses

Primary practice location

11680 Doolittle Dr Ste 103
Waldorf, MD 20602-3802

Mailing address

14208 School LN
Upper Marlboro, MD 20772-2829
Phone (540) 419-1800

Other practice location 1

6490 Landover Rd Ste E
Cheverly, MD 20785-1443
Phone (301) 341-5111

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
LGPC00256DCMDMental Health Counselor
LGP7904MDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Crawford Consulting and Mental Health Services, Inc. Mental Health PastSince Dec 4, 2006 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": "1499731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1942722970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14208 SCHOOL LN",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207722829",
            "telephone_number": "540-419-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11680 DOOLITTLE DR STE 103",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206023802",
            "telephone_number": "240-607-2756"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6490 Landover Rd Ste E",
            "address_purpose": "LOCATION",
            "city": "Cheverly",
            "state": "MD",
            "postal_code": "207851443",
            "country_code": "US",
            "telephone_number": "301-341-5111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "RON",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "LGPC, NCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-11",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "DC",
            "license": "LGPC00256",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LGP7904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.