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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.

ANJALISSA D JOHNSON LCADC, SAP, MAC
NPI 1891191052
Counselor - Addiction (Substance Use Disorder) in Sparks Glencoe, MD

Active since November 14, 2014PECOS EnrolledAccepts Medicare Assignment
14 RAINFLOWER PATH UNIT 201, SPARKS GLENCOE, MD 21152(443) 983-5001 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 3, 2025, Jan 28, 2021 (2 updates tracked since 2021).

About Anjalissa D Johnson Lcadc, Sap, Mac NPPES

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

ANJALISSA D JOHNSON LCADC, SAP, MAC (NPI 1891191052) is an individual addiction (substance use disorder) provider in Sparks Glencoe, Maryland, licensed in Maryland (LCA3226) and active in the NPI registry since November 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1891191052
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameANJALISSA D JOHNSONCredential: LCADC, SAP, MAC
Location Address14 RAINFLOWER PATH UNIT 201Sparks Glencoe, MD 21152-8792
Mailing Address14 Rainflower Path Unit 201Sparks Glencoe, MD 21152-8792 · (443) 983-5001
Phone(443) 983-5001
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateNovember 14, 2014
Last NPPES UpdateJune 30, 20262 updates tracked since enumeration
NPPES CertifiedJune 30, 2026
✔ NPI 1891191052 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 · LCA3226
14 RAINFLOWER PATH UNIT 201, Sparks Glencoe, MD 21152
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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 and accepts Medicare assignment

Anjalissa D Johnson Lcadc, Sap, Mac is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8729509799
PECOS Enrollment IDI20260209000998
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.

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 Anjalissa Johnson's NPI number?

The NPI number for Anjalissa Johnson is 1891191052. It was assigned to this individual provider in the NPPES registry on November 14, 2014.

Where is Anjalissa Johnson located?

Anjalissa Johnson practices at 14 Rainflower Path Unit 201, Sparks Glencoe, MD 21152. The listed phone number is (443) 983-5001.

What is Anjalissa Johnson's specialty?

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

Is Anjalissa Johnson enrolled in Medicare?

Yes. Anjalissa Johnson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Anjalissa Johnson was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 39 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.