Organization
KALEIDOSCOPE KOLLEGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CORIE JOHNSON (FOUNDER)
(240) 319-1671
Entity
Organization
Contact information
Practice address
9504 SHOAL CT, CHELTENHAM, MD 20623-1352
(240) 319-1671
Mailing address
9504 SHOAL CT, CHELTENHAM, MD 20623-1352
(240) 319-1671
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106S00000X
Behavior Technician
—
—
163WX0106X
Occupational Health Registered Nurse
—
—
221700000X
Art Therapist
—
—
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
—
—
251300000X
Local Education Agency (LEA)
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
04/25/2026
Last updated
04/25/2026
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