MS. NOELLE G. JOHNSON LCPC
NPI 1366198061
Counselor - Professional in Baltimore, MD

Active since February 22, 2022PECOS Enrolled
4316 SEIDEL AVE, BALTIMORE, MD 21206(410) 240-4174 Get Directions Write a Review

NPPES record last updated: June 21, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 21, 2023, Mar 8, 2022, Feb 22, 2022 (3 updates tracked since 2022).

About Ms. Noelle G. Johnson Lcpc NPPES

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

MS. NOELLE G. JOHNSON LCPC (NPI 1366198061) is an individual professional provider in Baltimore, Maryland, licensed in Maryland (LC13758) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1366198061
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. NOELLE G. JOHNSONCredential: LCPC
Location Address4316 SEIDEL AVEBaltimore, MD 21206-6429
Mailing Address4316 Seidel AveBaltimore, MD 21206-6429 · (410) 240-4174
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateFebruary 22, 2022
Last NPPES UpdateJune 21, 20233 updates tracked since enumeration
NPPES CertifiedJune 21, 2023
NPI 1366198061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in MD · LC13758
4316 SEIDEL AVE, Baltimore, MD 21206

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ms. Noelle G. Johnson Lcpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4981046752
PECOS Enrollment IDI20240524000421
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

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

Community/Behavioral Health
4316 SEIDEL AVE
BALTIMORE, MD 21206

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366198061, enumerated as an "individual" on February 22, 2022.

The provider is located at 4316 SEIDEL AVE BALTIMORE, MD 21206 and the phone number is (410) 240-4174.

Counselor with taxonomy code 101YP2500X and a focus in Professional.