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DR. JAKE A JOHNSON DOCTORATE
NPI 1164625240
Counselor - Professional in Bowie, MD

Active since June 07, 2007
14300 GALLANT FOX LN, SUITE 211, BOWIE, MD 20715(301) 262-2828(301) 262-7637 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jake A Johnson Doctorate NPPES

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

DR. JAKE A JOHNSON DOCTORATE (NPI 1164625240) is an individual professional provider in Bowie, Maryland, licensed in Maryland (297) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1164625240
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameDR. JAKE A JOHNSONCredential: DOCTORATE
Location Address14300 GALLANT FOX LN, SUITE 211Bowie, MD 20715-4003
Mailing Address6111 Beddingfield CtCentreville, VA 20121-5318 · (703) 502-1029 · Fax (301) 262-7637
Phone(301) 262-2828
Fax(301) 262-7637
Sole ProprietorYes
Enumeration DateJune 7, 2007
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1164625240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MD · 297
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 297 (MD)
14300 GALLANT FOX LN, Bowie, MD 20715
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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.

DR. RAKESH ARORA M.D.
Family Medicine
14300 GALLANT FOX LN, SUITE 222
BOWIE, MD 20715
Prince George's County (301) 262-7800
RAKESH ARORA M.D. F.A.A. F.P.,P.A.
Family Medicine
14300 GALLANT FOX LN, SUITE 222
BOWIE, MD 20715
Prince George's County (301) 262-7800
DR. JAMES HOWARD WISE PH.D.
Psychologist
14300 GALLANT FOX LN, SUITE 211
BOWIE, MD 20715
Prince George's County (301) 262-2828
KATHLEEN TOMCZYK BOETCHER P.A.
Physician Assistant
14300 GALLANT FOX LN, SUITE 118
BOWIE, MD 20715
Prince George's County (301) 464-3020
MS. MARSHA ROSS LCSW-C
Social Worker (Clinical)
14300 GALLANT FOX LN, SUITE 216
BOWIE, MD 20715
Prince George's County (301) 805-8565
MS. DIANE PISANO LCSW C
Social Worker
14300 GALLANT FOX LN, SUITE 107
BOWIE, MD 20715
Prince George's County (301) 805-5124
RONALD F MOSER, D.D.S., P.A.
Dentist
14300 GALLANT FOX LN, SUITE 208
BOWIE, MD 20715
Prince George's County (301) 464-3500
PHS MULTISPECIALTY SERVICES
Surgery
14300 GALLANT FOX LN, SUITE 224
BOWIE, MD 20715
Prince George's County (301) 262-8291

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 Jake Johnson's NPI number?

The NPI number for Jake Johnson is 1164625240. It was assigned to this individual provider in the NPPES registry on June 7, 2007.

Where is Jake Johnson located?

Jake Johnson practices at 14300 Gallant Fox Ln Suite 211, Bowie, MD 20715. The listed phone number is (301) 262-2828.

What is Jake Johnson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Jake Johnson was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.