JASON JESSE JOHNSON (NPI# 1386201275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386201275 |
| Entity Type | Individual |
| Full Name | JASON JESSE JOHNSON |
| Credential | BHP |
| Practice Address |
1618 Sherwood Ave Baltimore MD 21239-2410 |
| Practice Telephone | 4109804761 |
| Mailing Telephone | 4109804761 |
| Enumeration Date | 2019-05-25 |
| Last Update Date | 2019-05-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 225C00000X | Rehabilitation Counselor | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 251E00000X | Home Health | Agencies | ||
| Y | 320700000X | Residential Treatment Facility, Physical Disabilities | Residential Treatment Facilities | ||
| N | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities | ||
| N | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities | ||
| N | 171M00000X | Case Manager/Care Coordinator | MD | Other Service Providers | |
| N | 175T00000X | Peer Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174132450 | Jason C Johnson | Dentist | 1231 W 9000 S., Suite #d, West Jordan, UT 84088-5176 | 2020-07-23 |
| 1003316183 | Jason J Johnson | Registered Nurse | 6464 Sw Borland Rd Ste C1, Tualatin, OR 97062-8856 | 2018-02-15 |
| 1760903082 | Jason Aaron Johnson | Massage Therapist | 28390 Gamble Road, Chesterfield, MI 48047 | 2017-06-28 |
| 1417304189 | Jason Anderson Johnson | Social Worker | 900 Beasly Street Suite 120, Lexington, KY 40509 | 2016-05-23 |
| 1649596958 | Jason Johnson | Social Worker | 90 Orchard St Fl 1, Elmwood Park, NJ 07407-2113 | 2010-04-12 |
| 1669651543 | Jason Alan Johnson | Counselor | 1020 Sw Taylor St Ste 245, Portland, OR 97205-2507 | 2007-10-29 |
| 1780709394 | Jason D Johnson | Plastic Surgery | 15396 N 83rd Ave Ste B100, Peoria, AZ 85381-5626 | 2007-03-20 |
| 1487710760 | Jason Thomas Johnson | Chiropractor | 3875 M72 East, Acme, MI 49610 | 2006-12-29 |
| 1033133194 | Jason Leonard Johnson | Emergency Medicine | 10600 4th St N, Apt 201, Saint Petersburg, FL 33716-3282 | 2006-07-26 |
| 1699744102 | Jason Bradley Johnson | Military Health Care Provider | Psc 844 Box 63, Fpo, AE 09844 | 2006-03-16 |
| Street Address |
1618 SHERWOOD AVE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21239-2410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467079954 | Tru Luv Management Lc | Community Based Residential Treatment Facility, Mental Illness | 1618 Sherwood Ave, Baltimore, MD 21239-2410 | 2020-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255809273 | Books of Color, LLC | Student in an Organized Health Care Education/Training Program | 1222 Walker Ave, Baltimore, MD 21239 | 2018-11-07 |
| 1902381353 | Brandon Wilson | Physician Assistant | 5601 Lochraven Blvd, Baltimore, MD 21239 | 2018-10-02 |
| 1629563879 | Ashley C Sayles | Nurse Practitioner | 5601 Loch Raven Blvd Ste 200, Baltimore, MD 21239 | 2018-06-28 |
| 1164940656 | Tarnisha Fitzgerald | Nurse Practitioner | 1601 East Belvedere Avenue, Baltimore, MD 21239 | 2017-09-05 |
| 1083153803 | J.pope & Associates, LLC | Counselor | 1800 E. Northern Pkwy #28031, Baltimore, MD 21239 | 2017-02-13 |
| 1417336017 | Mana Ali | Psychologist | 5601 Loch Raven Blvd Ste 406, Johns Hopkins Som Dept of Physical Med and Rehab, Baltimore, MD 21239 | 2015-05-28 |
| 1730597766 | Ramona Taylor-knox | Counselor | 1700 Meridian Drive, Suite 611, Baltimore, MD 21239 | 2014-07-22 |
| 1013259142 | Innovative Healing Solutions,llc | Social Worker | 1302 Silverthorne Rd, Baltimore, MD 21239 | 2013-03-27 |
| 1962744268 | Mohamad Hanouneh | Internal Medicine | 5601 Loch Raven Blvd Ste 3n, Baltimore, MD 21239 | 2013-03-25 |
| 1164713350 | Vanessa G Brown | Pharmacist | 5618 The Alameda, Baltimore, MD 21239 | 2011-04-22 |
| Find all providers in zip 21239 | ||||
| Taxonomy Code | 320700000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Physical Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396059697 | Advanced Home Care Services, Inc. | Residential Treatment Facility, Physical Disabilities | 8005 Harford Rd, Suite 102, Baltimore, MD 21234-5753 | 2010-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417489295 | Seppk | Residential Treatment Facility, Physical Disabilities | 1224 W Old Liberty Rd, Sykesville, MD 21784-9327 | 2017-03-30 |
| 1063891018 | Nissi Homes LLP | Residential Treatment Facility, Physical Disabilities | 8604 Briarwood Ct, Laurel, MD 20708-1320 | 2015-05-22 |
| 1164801114 | Nissi Homes LLP | Residential Treatment Facility, Physical Disabilities | 20109 Torrey Pond Pl, Montgomery Village, MD 20886-1119 | 2015-05-22 |
| 1396135158 | Joy Harris | Residential Treatment Facility, Physical Disabilities | 9608 Tuckerman St, Lanham, MD 20706-3431 | 2015-02-02 |
| 1942634308 | Isaac J Ntia | Residential Treatment Facility, Physical Disabilities | 621 Sheridan St Apt 14, Hyattsville, MD 20783-3212 | 2013-08-21 |
| 1801231352 | Brightlife Inc | Residential Treatment Facility, Physical Disabilities | 4715 Columbia Hills Ct, Ellicott City, MD 21043-6409 | 2013-05-09 |
| 1619310406 | Rejoice Health Services | Residential Treatment Facility, Physical Disabilities | 7800 Wilson Ave, Parkville, MD 21234-5825 | 2013-04-10 |
| 1598046435 | Home Care Solutions | Residential Treatment Facility, Physical Disabilities | 14 W Patrick St, Frederick, MD 21701-5666 | 2011-09-06 |
| 1033365812 | Second Chance Services Unlimited Inc. | Residential Treatment Facility, Physical Disabilities | 10001 Derekwood Ln Ste 200, Lanham, MD 20706-4871 | 2008-08-13 |
| 1649433756 | Liberty Rehabilitation Services | Residential Treatment Facility, Physical Disabilities | 3333 Northmont Rd, Windsor Mill, MD 21244-2953 | 2008-07-08 |
| Find all providers with the same taxonomy | ||||
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| 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.