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

Anjalissa D Johnson, LCADC, SAP, MAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1891191052

Anjalissa D Johnson, LCADC, SAP, MAC is a Mental Health Counselor in Sparks Glencoe, Maryland. Qualified in 2019, 7 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
7
Licensed in
MD
In the registry since
2014

Practice location Address checks out

14 Rainflower Path Unit 201
Sparks Glencoe, MD 21152-8792
Phone: (443) 983-5001
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence LCA3226 (MD)

Record details

NPI number1891191052
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCADC , SAP , MAC
Sole proprietorYes
NPI enumeratedNovember 14, 2014
Last updated in NPPESJune 30, 2026
Certification dateJune 30, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare