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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ANDRE R JOHNSON LCPC, OT
NPI 1699111500
Counselor - Professional in Gaithersburg, MD

Active since May 17, 2013
9053 SHADY GROVE CT, GAITHERSBURG, MD 20877(240) 810-3790 Get Directions Write a Review

NPPES record last updated: July 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 17, 2026, Jun 21, 2024 (2 updates tracked since 2024).

About Andre R Johnson Lcpc, Ot NPPES

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

ANDRE R JOHNSON LCPC, OT (NPI 1699111500) is an individual professional provider in Gaithersburg, Maryland, licensed in Maryland (LGP15116) and active in the NPI registry since May 2013. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1699111500
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameANDRE R JOHNSONCredential: LCPC, OT
Location Address9053 SHADY GROVE CTGaithersburg, MD 20877-1301
Mailing Address9053 Shady Grove CtGaithersburg, MD 20877-1301 · (240) 810-3790
Phone(240) 810-3790
Sole ProprietorNo
Enumeration DateMay 17, 2013
Last NPPES UpdateJuly 17, 20262 updates tracked since enumeration
NPPES CertifiedJuly 17, 2026
✔ NPI 1699111500 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 · LGP15116
Also ListedOccupational TherapistTaxonomy 225X00000X · License 03491 (MD)
9053 SHADY GROVE CT, Gaithersburg, MD 20877
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Secondary Practice Locations 2

Location 17717 Pecan Leaf RdSevern, MD 21144-6938 · Phone (410) 303-2055
Location 2808 Landmark DrGlen Burnie, MD 21061-4983 · Phone (667) 600-2516

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.

QI CHEN LGPC
Counselor (Mental Health)
9053 SHADY GROVE CT
GAITHERSBURG, MD 20877
Montgomery County (240) 810-3790
RACHEL ANN NEUROHR
Counselor (Mental Health)
9053 SHADY GROVE CT
GAITHERSBURG, MD 20877
Montgomery County (240) 810-3790
OLIVIA SMITH
Counselor (Mental Health)
9053 SHADY GROVE CT
GAITHERSBURG, MD 20877
Montgomery County (240) 810-3790
JESSICA RICE LCPC, LPC, ACS
Counselor (Mental Health)
9053 SHADY GROVE CT
GAITHERSBURG, MD 20877
Montgomery County (240) 810-3790
LUIS BERNAL GONZALEZ LCSWC
Social Worker
9053 SHADY GROVE CT
GAITHERSBURG, MD 20877
Montgomery County (240) 810-3790
JENNIFER VAN METER LGPC
Counselor (Mental Health)
9053 SHADY GROVE CT
GAITHERSBURG, MD 20877
Montgomery County (240) 810-3790
GEORGIA CHARLOTTE GRAY
Counselor (Professional)
9053 SHADY GROVE CT
GAITHERSBURG, MD 20877
Montgomery County (240) 810-3790
RONALD A LEVIN LCSW-C
Social Worker (Clinical)
9053 SHADY GROVE CT
GAITHERSBURG, MD 20877
Montgomery County (301) 330-8832

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 Andre Johnson's NPI number?

The NPI number for Andre Johnson is 1699111500. It was assigned to this individual provider in the NPPES registry on May 17, 2013.

Where is Andre Johnson located?

Andre Johnson practices at 9053 Shady Grove Ct, Gaithersburg, MD 20877. The listed phone number is (240) 810-3790.

What is Andre 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 Andre Johnson was last updated on July 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days 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.