JUSTIN JOHNSON
NPI 1770450892
Nurse Practitioner - Psychiatric/Mental Health in Berwyn Heights, MD

Q: What is Justin Johnson's NPI number?

The NPI number for Justin Johnson is 1770450892. It was assigned to this individual provider in the NPPES registry on October 22, 2025.

Q: What is Justin Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Justin Johnson was last updated on October 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since October 22, 2025PECOS Enrolled

6215 GREENBELT RD STE 107, BERWYN HEIGHTS, MD 20740(301) 272-1558 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Justin Johnson NPPES

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

JUSTIN JOHNSON (NPI 1770450892) is an individual psychiatric/mental health provider in Berwyn Heights, Maryland, licensed in Maryland (R259140) and active in the NPI registry since October 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1770450892

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameJUSTIN JOHNSON

Location Address6215 GREENBELT RD STE 107Berwyn Heights, MD 20740-2355

Mailing Address6215 Greenbelt Rd Ste 107Berwyn Heights, MD 20740-2355 · (301) 272-1558

Phone(301) 272-1558

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateOctober 22, 2025

NPPES CertifiedOctober 22, 2025

✔ NPI 1770450892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in MD · R259140

6215 GREENBELT RD STE 107, Berwyn Heights, MD 20740

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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)

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

PECOS PAC ID5092284455

PECOS Enrollment IDI20260514002469

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20740 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$100.31 typical visit price

range $65.18 – $194.86

Typical copayment $25.07 (range $16.29 – $48.71)

Most-billed visit code 99203

Established Patient

$113.72 typical visit price

range $21.40 – $158.88

Typical copayment $28.43 (range $5.35 – $39.72)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

ABILITY HEALTHCARE SERVICES INCORPORATED

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities