Andre R Johnson, LCPC, OT is a
Counselor - Professional based in Severn, Maryland. Andre R Johnson is licensed to practice in Maryland (license number 71367771) and her current practice location is
7717 Pecan Leaf Rd, Severn, Maryland. She can be reached at her office (for appointments etc.) via phone at
(410) 303-2055.
NPI number for Andre R Johnson is 1699111500 and her current mailing address is 7717 Pecan Leaf Rd, Severn, Maryland. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1699111500.
Healthcare Provider's Profile
Full Name | Andre R Johnson |
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Gender | Female |
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Speciality | Counselor - Professional |
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Location | 7717 Pecan Leaf Rd, Severn, Maryland |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1699111500
- Provider Enumeration Date: 05/17/2013
- Last Update Date: 06/21/2024
Medical Identifiers
Medical identifiers for Andre R Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1699111500 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | 03491 (Maryland) | Secondary |
101YP2500X | Counselor - Professional | 71367771 (Maryland) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Andre R Johnson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Andre R Johnson, LCPC, OT 7717 Pecan Leaf Rd, Severn, MD 21144-3614 Ph: () - | Andre R Johnson, LCPC, OT 7717 Pecan Leaf Rd, Severn, MD 21144-6938 Ph: (410) 303-2055 |
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