Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Andre R Johnson, LCPC, OT

Individual provider Occupational Therapist · NPI 1699111500

Andre R Johnson, LCPC, OT is an Occupational Therapist in Gaithersburg, Maryland. Works from 3 locations. Licensed in Maryland.

Licensed in
MD
In the registry since
2013
Specialties on file
2
What do these letters mean?
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.
OT — Occupational Therapist
Helps people regain the skills needed for daily living and work.

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Practice location Address checks out

9053 Shady Grove Ct
Gaithersburg, MD 20877-1301
Phone: (240) 810-3790
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 808 Landmark Dr, Glen Burnie, MD 21061-4983 — (667) 600-2516
  • 7717 Pecan Leaf Rd, Severn, MD 21144-6938 — (410) 303-2055

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LGP15116 (MD)
Occupational Therapist Taxonomy 225X00000X · Licence 03491 (MD)

Record details

NPI number1699111500
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCPC , OT
Sole proprietorNo
NPI enumeratedMay 17, 2013
Last updated in NPPESJuly 17, 2026
Certification dateJuly 17, 2026

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