Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1699111500 Individual Practitioner Female Practitioner

Andre R Johnson , LCPC, OT

Counselor - Professional • Gaithersburg, MD

Professional Overview & Biography Verified Profile Summary

Andre Johnson, LCPC, OT is a registered healthcare professional specializing in Counselor - Professional in Gaithersburg, MD. Practice services are available at 9053 SHADY GROVE CT under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9053 Shady Grove Ct

Gaithersburg, MD 208771301

Telephone 2408103790
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Gaithersburg, MD

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.5 Yrs
State Avg: 17.2 Yrs
Regional Practice Density
88 Specialists

Practicing in Gaithersburg, MD (4138 Statewide)

Telehealth Adoption Rate
9.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-07-17
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License MD LGP15116

Definition to come...

Occupational Therapist

NUCC Taxonomy Code: 225X00000X

State License MD 03491

An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.

Secondary Practice Locations

808 Landmark Dr

Glen Burnie, MD 210614983

Phone: 6676002516

7717 Pecan Leaf Rd

Severn, MD 211446938

Phone: 4103032055

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

25 Associated Practitioners
Qi Chen , LGPC

Counselor - Mental Health

NPI 1003536616
Rachel Neurohr

Counselor - Mental Health

NPI 1013645977
Olivia Smith

Counselor - Mental Health

NPI 1063380277
Shirin Podury

Counselor - Mental Health

NPI 1104758200
Grace Garron , MS

Counselor - Mental Health

NPI 1114748720

Master of Science

Ayana Culhane

Counselor - Mental Health

NPI 1194606061

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location July 17, 2026

Registered at 9053 SHADY GROVE CT, GAITHERSBURG, MD 208771301 (Tel: 2408103790)

📍
Updated Business Mailing Address July 17, 2026

Registered at 9053 SHADY GROVE CT, GAITHERSBURG, MD 208771301 (Tel: 2408103790)

📍
Updated Practice Location June 21, 2024

Registered at 7717 PECAN LEAF RD, SEVERN, MD 211446938 (Tel: 4103032055)

📍
Updated Business Mailing Address June 21, 2024

Registered at 7717 PECAN LEAF RD, SEVERN, MD 211443614

👤
Provider Name / Credentials Updated June 21, 2024

Recorded as ANDRE JOHNSON, LCPC, OT

NPI Profile Active May 17, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location May 17, 2013

Registered at 4819 SINCLAIR LN, BALTIMORE, MD 212066938 (Tel: 4103255150)

📍
Updated Business Mailing Address May 17, 2013

Registered at 4819 SINCLAIR LN, BALTIMORE, MD 212066938 (Tel: 4103255150)

👤
Provider Name / Credentials Updated May 17, 2013

Recorded as ANDRE JOHNSON, OT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 17, 2013

Occupational Therapist (License #03491 in MD)

🟢
Initial NPI Registration & Enumeration May 17, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1699111500
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 17, 2013
Last Update: July 17, 2026
Sole Proprietor: No

Mailing Address

9053 Shady Grove Ct

Gaithersburg, MD 208771301

Phone: 2408103790

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.