Individual provider

Jesse Johnson

Child & Adolescent Psychiatric/Mental Health Registered Nurse

Jesse Johnson is a Child & Adolescent Psychiatric/Mental Health Registered Nurse in Capitol Heights, MD, registered under NPI 1104637958. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 4606 ADDISON RD, Capitol Heights, MD 20743. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

4606 ADDISON RD, Capitol Heights, MD 20743 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
R248465 MD Child & Adolescent Psychiatric/Mental… primary

This provider holds licence R248465 issued in MD. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

What Psychiatric/Mental Health, Child & Adolescent covers

Definition to come... NUCC Health Care Provider Taxonomy, code 163WP0807X
Nursing Service Providers Registered Nurse Psychiatric/Mental Health, Child & Adolescent

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1104637958 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJan 20, 2025
Last updatedJan 20, 2025
StatusActive
Sole proprietorYes
Practice address 4606 ADDISON RD
Capitol Heights, MD 20743
(202) 541-9844
This record was updated on Jan 20, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1104637958 passes the NPI check digit test The final digit 8 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 0 4 6 3 7 9 5
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 0 4 3 3 5 9 1

Sum = 52 · next multiple of 10 = 60 · check digit = 8 · actual last digit = 8

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1104637958?
NPI 1104637958 is the National Provider Identifier assigned to Jesse Johnson in Capitol Heights, MD. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Psychiatric/Mental Health, Child & Adolescent cover?
Definition to come...
How do I contact Jesse Johnson?
The phone number on file with NPPES is (202) 541-9844, last updated Jan 20, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1104637958 a valid number?
Yes. 1104637958 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.