Individual provider · Type 1 NPI

Jordan Tiera Johnson, LCPC

Mental Health Counselor · Oxon Hill, MD

NPI number 1760100879 Active

Practice location

137 National Plz Ste 300
Oxon Hill, MD 20745-1153

Mailing address

PO Box 3512
Capitol Heights, MD 20791-3512

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLC15509 (MD)

Mental Health Counselor: Definition to come...

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About NPI 1760100879

Jordan Tiera Johnson, LCPC's National Provider Identifier is 1760100879, issued on Aug 16, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Oxon Hill, MD. The record was last updated on Jun 24, 2025.