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ANDREW JOHNSON
NPI 1053807271
Counselor - Addiction (Substance Use Disorder) in Cumberland, MD

Active since July 11, 2018PECOS Enrolled
10102 COUNTRY CLUB RD SE, CUMBERLAND, MD 21502(301) 777-2285 Get Directions Write a Review

NPPES record last updated: July 11, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Andrew Johnson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREW JOHNSON (NPI 1053807271) is an individual addiction (substance use disorder) provider in Cumberland, Maryland, licensed in Maryland (LGP8171) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053807271
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameANDREW JOHNSON
Location Address10102 COUNTRY CLUB RD SECumberland, MD 21502-8339
Mailing Address10102 Country Club Rd SeCumberland, MD 21502-8339
Phone(301) 777-2285
Sole ProprietorNo
Enumeration DateJuly 11, 2018
✔ NPI 1053807271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in MD · LGP8171
10102 COUNTRY CLUB RD SE, Cumberland, MD 21502
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrew Johnson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GREGORY PETERS CAC-AD
Counselor (Addiction (Substance Use Disorder))
10102 COUNTRY CLUB RD SE
CUMBERLAND, MD 21502
Allegany County (301) 777-2290
LISA DAVIS
Social Worker
10102 COUNTRY CLUB RD SE
CUMBERLAND, MD 21502
Allegany County (301) 777-2257
HEIDI VALENTINE
Counselor (Addiction (Substance Use Disorder))
10102 COUNTRY CLUB RD SE
CUMBERLAND, MD 21502
Allegany County (301) 777-2285
TERRI JO YARBROUGH
Licensed Practical Nurse
10102 COUNTRY CLUB RD SE
CUMBERLAND, MD 21502
Allegany County (301) 777-5582
AMBER MARIE TAYLOR
Licensed Practical Nurse
10102 COUNTRY CLUB RD SE
CUMBERLAND, MD 21502
Allegany County (301) 777-2285
KATHY MILLER LCADC
Counselor (Addiction (Substance Use Disorder))
10102 COUNTRY CLUB RD SE
CUMBERLAND, MD 21502
Allegany County (301) 777-2285
KIM ABE CAC-AD
Counselor (Addiction (Substance Use Disorder))
10102 COUNTRY CLUB RD SE
CUMBERLAND, MD 21502
Allegany County (301) 777-2290
SHANNON SWEITZER
Licensed Practical Nurse
10102 COUNTRY CLUB RD SE
CUMBERLAND, MD 21502
Allegany County (301) 777-2285

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrew Johnson's NPI number?

The NPI number for Andrew Johnson is 1053807271. It was assigned to this individual provider in the NPPES registry on July 11, 2018.

Where is Andrew Johnson located?

Andrew Johnson practices at 10102 Country Club Rd SE, Cumberland, MD 21502. The listed phone number is (301) 777-2285.

What is Andrew Johnson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Andrew Johnson enrolled in Medicare?

Yes. Andrew Johnson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Andrew Johnson was last updated on July 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.