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

Dr. Jake A Johnson, DOCTORATE

Individual provider Mental Health Counselor · NPI 1164625240

Dr. Jake A Johnson, DOCTORATE is a Mental Health Counselor in Bowie, Maryland. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2007
Specialties on file
2

Practice location Address checks out

14300 Gallant Fox Ln Ste 211
Bowie, MD 20715-4003
Phone: (301) 262-2828
Fax: (301) 262-7637
Show map & directions

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

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 297 (MD)
Mental Health Counselor Taxonomy 101YM0800X · Licence 297 (MD)

Record details

NPI number1164625240
Entity typeIndividual (Type 1)
GenderMale
Credentials DOCTORATE
Sole proprietorYes
NPI enumeratedJune 7, 2007
Last updated in NPPESSeptember 11, 2025

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