MELVIN JOHNSON (NPI# 1023594298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023594298 |
| Entity Type | Individual |
| Full Name | MELVIN JOHNSON |
| Credential | CAC-AD |
| Practice Address |
10903 Indian Head Hwy Ste 504 Fort Washington MD 20744-4012 |
| Practice Telephone | 2407664194 |
| Practice Fax Number | 3014850363 |
| Mailing Telephone | 2407664194 |
| Mailing Fax Number | 3014850363 |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2018-07-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
AC1032 | MD | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437655719 | Melvin Johnson | Counselor | 4138 Wells Mark Dr, Humble, TX 77346-4556 | 2018-04-04 |
| 1770974727 | Melvin Johnson | Physician Assistant | 1016 Grand National Blvd, Fort Worth, TX 76179-2336 | 2015-02-12 |
| 1477957447 | Melvin Johnson | Respiratory Therapist, Certified | 8720 Ranch Blvd, Little Rock, AR 72223-4462 | 2014-10-20 |
| 1548786429 | Melvin Johnson IIi | Case Manager/Care Coordinator | 6701 Highway 67, Benton, AR 72015-8909 | 2017-08-22 |
| 1003264102 | Melvin Douglas Johnson | Counselor | 1900 Monroe St, Toledo, OH 43604-6774 | 2016-05-30 |
| 1609283555 | Melvin Johnson | Counselor | 541 Quantum Rd Ne, Rio Rancho, NM 87124-4502 | 2014-07-11 |
| 1548414873 | Melvin H Johnson Jr. | Radiology | 300 North Avenue, Cancer Care Center, Battle Creek, MI 49017 | 2008-11-13 |
| 1609951557 | Melvin Johnson | Anesthesiology | 2720 Sunset Blvd, West Columbia, SC 29169-4810 | 2006-10-26 |
| 1568497675 | Melvin Russell Johnson | Internal Medicine | 4001 Coliseum Dr, Ste 310, Hampton, VA 23666-6257 | 2006-07-11 |
| 1790789782 | Melvin Julius Johnson IIi | Internal Medicine | 1222 S Orange Ave, Orlando, FL 32806-1215 | 2005-06-08 |
| Street Address |
10903 INDIAN HEAD HWY STE 504 |
| City | FORT WASHINGTON |
| State | MD |
| Zip Code | 20744-4012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598267700 | Ksa Youth Foundation Inc. | Counselor | 10903 Indian Head Hwy Ste 504, Fort Washington, MD 20744-4012 | 2018-03-03 |
| 1770052409 | Ksa Youth Foundation Inc. | Non-emergency Medical Transport (VAN) | 10903 Indian Head Hwy Ste 504, Fort Washington, MD 20744-4012 | 2018-11-26 |
| 1417423096 | Charlena Young | Counselor | 10903 Indian Head Hwy Ste 504, Fort Washington, MD 20744-4012 | 2018-10-22 |
| 1013483023 | Ksa Youth Foundation Inc. | Registered Nurse | 10903 Indian Head Hwy Ste 504, Fort Washington, MD 20744-4012 | 2018-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558823807 | Sybil Canales | Nurse Practitioner | 8507 Oxon Hill Rd., Suite 200, Fort Washington, MD 20744 | 2019-04-04 |
| 1700372141 | Avia Barrett-powell | Nurse Practitioner | 10709 Md-210 Suite D, Fort Wasshington, MD 20744 | 2018-07-09 |
| 1285125047 | Darlene Williams-prades | Specialist | 9400 Livingston Rd Ste 400, Ft Washington, MD 20744 | 2018-05-28 |
| 1609371277 | My Girl's Place Pllc | Social Worker | 8507 Oxon Hill Rd Ste 200-s35, Fort Washington, MD 20744 | 2018-03-27 |
| 1720580293 | Janet C Nwaogu | Licensed Practical Nurse | 6856 Eastern Avenue Suite 320 A, Washington (and Vicinity), MD 20744 | 2018-03-01 |
| 1174040505 | Sharon Ray | Specialist | 12303 Parkton St, Fort Washington, MD 20744 | 2017-08-25 |
| 1013433069 | Carmilla Wheeler | Specialist/Technologist | 12515 Langner Drive, Fort Washington, MD 20744 | 2017-08-21 |
| 1194266627 | Brian Cooper I | Home Health Aide | 9008 Branchview Dr, Fort Washington, MD 20744 | 2017-03-16 |
| 1467803973 | Saint Pharmacy, Inc | Pharmacy | 5608 Saint Barnabas Road, Suite 120, Fort Washington, MD 20744 | 2016-06-27 |
| 1962802959 | Eric Fosung Fotang | Pharmacist | 8201 Oxon Hill Road, Fort Washington, MD 20744 | 2014-08-27 |
| Find all providers in zip 20744 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053873489 | Jessica Moore | Counselor | 550 Pinetown Rd Ste 150, Fort Washington, PA 19034-2612 | 2019-04-04 |
| 1598267700 | Ksa Youth Foundation Inc. | Counselor | 10903 Indian Head Hwy Ste 504, Fort Washington, MD 20744-4012 | 2018-03-03 |
| 1588163158 | Kellie H Medendorp | Counselor | 1035 Virginia Dr Ste 130, Fort Washington, PA 19034-3103 | 2018-02-08 |
| 1982051702 | Denee Daniel | Counselor | 710 Kelly Rd, Fort Washington, MD 20744-5411 | 2016-05-22 |
| 1417423096 | Charlena Young | Counselor | 10903 Indian Head Hwy Ste 504, Fort Washington, MD 20744-4012 | 2018-10-22 |
| 1851824924 | Maddie Wendler | Counselor | 1035 Virginia Dr, Fort Washington, PA 19034-3103 | 2017-04-06 |
| 1437693819 | Loretta M Vasso | Counselor | 7237 Hollywood Rd, Fort Washington, PA 19034-1236 | 2016-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861091522 | Choices Integrated Healthcare | Counselor | 1600 Bush St, Baltimore, MD 21230-2021 | 2020-10-22 |
| 1831706068 | James Simmons | Counselor | 975 Solomons Island Rd N # 119, Prince Frederick, MD 20678-3917 | 2020-10-01 |
| 1730791609 | Tony C Shaw | Counselor | 2814 W Garrison Ave, Baltimore, MD 21215-5335 | 2020-08-20 |
| 1134739600 | Crystal Yolanda Mason | Counselor | 10006 Antium Way, Owings Mills, MD 21117-4069 | 2020-08-08 |
| 1023628849 | Delores Jordan | Counselor | 2640 Oswego Ave, Baltimore, MD 21215-7037 | 2020-08-06 |
| 1588274773 | Positive Reinforcements Inc. | Counselor | 30260 Mount Vernon Rd Unit 6, Princess Anne, MD 21853-2202 | 2020-08-03 |
| 1073122511 | Rasheed Badmus | Counselor | 46 Solar Cir Apt A, Parkville, MD 21234-6831 | 2020-07-30 |
| 1144838277 | Guiding Lives | Counselor | 6305 Belair Rd, Baltimore, MD 21206-1817 | 2020-07-15 |
| 1750908943 | New Life Services LLC. | Counselor | 3600 W Mulberry St, Baltimore, MD 21229-2928 | 2020-07-03 |
| 1801413422 | Karena Tinika Lee | Counselor | 1336 Homestead St, Baltimore, MD 21218-3624 | 2020-06-30 |
| Find all providers with the same taxonomy | ||||
| City | FORT WASHINGTON |
| Zip Code | 20744 |
Please comment or provide details below to improve the information on MELVIN JOHNSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.