DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JAKE A JOHNSON, DOCTORATE

Active Sole Proprietor

DR. JAKE A JOHNSON, DOCTORATE is a Professional Counselor healthcare provider located in BOWIE, Maryland. NPI 1164625240 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · BOWIE, MD

Registration Details

NPI Number
1164625240
Provider Type
Individual
Gender
Male
NPI Issued
Jun 7, 2007 (19.153315407504 yrs)
Last Updated
Sep 11, 2025
Licenses
297 (MD)
297 (MD)
Sole Proprietor
Yes

Practice Information

Address
14300 GALLANT FOX LN
SUITE 211
BOWIE, MD, 207154003
Browse MD providers · Browse ZIP 20715
Phone
3012622828
Fax
3012627637
Primary Specialty
Professional Counselor
101YP2500X
Additional Specialty
Professional Counselor

Other Professional Counselor Providers in BOWIE, MD

Name Credential NPI
WAYNE T MARSHALL LCPC 1477591287
MS. CHRISTINE MARIE KUJAWA MA NCC LCPC 1265570329
CORNELIA M SKIPTON LCPC 1750420634
MRS. JOANN B PROCTOR LC2383 1396868329
DR. JOHN J. NEALON PH.D. 1174737092
GEANNA N BUTLER MED LCPC 1992919039
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.