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MR. KEVIN MICHAEL JOHNSON NPI 1285221333


NPI Information

NPI: 1285221333
Provider Name: MR. KEVIN MICHAEL JOHNSON
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Individual
Address:
28 E SUSQUEHANNA AVE STE 101&102
TOWSON, MD
ZIP 21286
Phone: (443) 685-8565
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MR. Kevin Michael Johnson is a community behavioral health in Towson, MD. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. MR. Kevin Michael Johnson NPI is 1285221333. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

28 E SUSQUEHANNA AVE STE 101&102
TOWSON, MD
ZIP 21286-218
Phone: (443) 685-8565

The enumeration date for this NPI number is 12/23/2020 and was last updated on 12/23/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1NAMEDICAIDMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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