Healthcare Provider Details

I. General information

NPI: 1689853269
Provider Name (Legal Business Name): MARGARET M JOHNSON MA, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/30/2007
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 RUNNING BROOK RD
GLEN MILLS PA
19342-1218
US

IV. Provider business mailing address

1 RUNNING BROOK RD
GLEN MILLS PA
19342-1218
US

V. Phone/Fax

Practice location:
  • Phone: 215-205-3764
  • Fax:
Mailing address:
  • Phone: 215-205-3764
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC004594
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberPC004594
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberPC004594
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: