SHANNON JOHNSON


Address: 800 N Fulton Ave, Baltimore, MD 21217-1425
Phone: 4104266001

SHANNON JOHNSON (NPI# 1285050658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285050658
Entity Type Individual
Full Name SHANNON JOHNSON
Credential LCPC
Practice Address 800 N Fulton Ave
Baltimore
MD 21217-1425
Mailing Address 896 E Princess St
York
PA 17403-2516
Practice Telephone 4104266001
Mailing Telephone 4435622661
Enumeration Date 2014-03-10
Last Update Date 2014-03-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
LC4217 MD Behavioral Health & Social Service Providers

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Office Location

Street Address 800 N FULTON AVE
City BALTIMORE
State MD
Zip Code 21217-1425

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659557593 Eric Alvin Ritter Hospitalist 800 N Fulton Ave, Baltimore, MD 21217-1425 2008-01-10
1609426998 Jacqueline Cooper Occupational Therapist 800 N Fulton Ave, Baltimore, MD 21217-1425 2019-09-18
1386165637 A Step Forward, Incorporated Counselor 800 N Fulton Ave, Baltimore, MD 21217-1425 2017-06-27
1447606249 A Step Forward, Incorporated Community/Behavioral Health 800 N Fulton Ave, Suite 100, Baltimore, MD 21217-1425 2016-05-11
1013319581 Lela Blue-campbell Counselor 800 N Fulton Ave, Baltimore, MD 21217-1425 2014-09-16
1700225497 A Step Forward, Incorporated Social Worker 800 N Fulton Ave, Baltimore, MD 21217-1425 2013-06-17
1720421324 Ellarwee Gadsden Counselor 800 N Fulton Ave, Baltimore, MD 21217-1425 2013-04-12
1235371584 A Step Forward Substance Abuse Rehabilitation Facility 800 N Fulton Ave, Baltimore, MD 21217-1425 2009-04-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1881131308 Domonique Matthews Registered Nurse 1515 W. North Ave, 1st Floor, Baltimore, MD 21217 2017-01-23
1992121982 Dorren Rennes Counselor 2350 Eutaw Place, Baltimore, MD 21217 2014-03-14
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1386816395 Kennedy Krieger Education and Communication Social Worker 1311 N. Gilmor St., Gilmore School, Baltimore, MD 21217 2008-03-31
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City BALTIMORE
Zip Code 21217

Improve Information

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Dataset Information

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.

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