CRYSTAL JOHNSON CAC-AD
NPI 1407362122
Counselor - Addiction (Substance Use Disorder) in Waldorf, MD

Active since December 18, 2017
21 INDUSTRIAL PARK DR STE 104D, WALDORF, MD 20602(301) 818-0030 Get Directions Write a Review

NPPES record last updated: December 18, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Crystal Johnson Cac-ad NPPES

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

CRYSTAL JOHNSON CAC-AD (NPI 1407362122) is an individual addiction (substance use disorder) provider in Waldorf, Maryland, licensed in Maryland (AC2302) and active in the NPI registry since December 2017.

NPPES Registry Identity

NPI1407362122
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameCRYSTAL JOHNSONCredential: CAC-AD
Location Address21 INDUSTRIAL PARK DR STE 104DWaldorf, MD 20602-2751
Mailing Address21 Industrial Park Dr Ste 104dWaldorf, MD 20602-2751 · (301) 818-0030
Sole ProprietorNo
Enumeration DateDecember 18, 2017
NPI 1407362122 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 · AC2302
21 INDUSTRIAL PARK DR STE 104D, Waldorf, MD 20602

Other Providers at the Same Location NPPES 7

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

Counselor (Addiction (Substance Use Disorder))
21 INDUSTRIAL PARK DR STE 104D
WALDORF, MD 20602
Counselor (Mental Health)
21 INDUSTRIAL PARK DR STE 104D
WALDORF, MD 20602
Counselor
21 INDUSTRIAL PARK DR STE 104D
WALDORF, MD 20602
Counselor (Addiction (Substance Use Disorder))
21 INDUSTRIAL PARK DR STE 104D
WALDORF, MD 20602
Clinic/Center (Mental Health (Including Community Mental Health Center))
21 INDUSTRIAL PARK DR STE 104D
WALDORF, MD 20602
Clinic/Center (Rehabilitation, Substance Use Disorder)
21 INDUSTRIAL PARK DR STE 104D
WALDORF, MD 20602
Counselor (Mental Health)
21 INDUSTRIAL PARK DR STE 104D
WALDORF, MD 20602

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 Crystal Johnson's NPI number?

The NPI number for Crystal Johnson is 1407362122. It was assigned to this individual provider in the NPPES registry on December 18, 2017.

Where is Crystal Johnson located?

Crystal Johnson practices at 21 Industrial Park Dr Ste 104D, Waldorf, MD 20602. The listed phone number is (301) 818-0030.

What is Crystal Johnson's specialty?

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

When was this NPI record last updated?

The NPPES record for Crystal Johnson was last updated on December 18, 2017. 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.