Individual provider Active NPI

Marija Sunjkic Johnson, MA, LPC, NCC

  • Professional Counselor
  • Saint Joseph, MI
National Provider Identifier
1003142829
Registry record updated Apr 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401011543 Issued in MI
Practice address
903 Main St
Saint Joseph, MI 49085-1426
Phone
(269) 985-2000
Fax
(269) 985-2002
NPI assigned
Oct 29, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401011543 MI Primary
Counseling Psychologist 103TC1900X 6401011543 MI

Addresses

Primary practice location

903 Main St
Saint Joseph, MI 49085-1426

Mailing address

PO Box 679
Saint Joseph, MI 49085-0679
Phone (269) 985-2000

Other names 1

  • Ms. Marija Sunjkic Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6401011543MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Shepard House Counseling & Psychological Services, P.C. Counseling Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1256774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334793600000",
    "number": "1003142829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 679",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490850679",
            "telephone_number": "269-985-2000",
            "fax_number": "269-985-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 MAIN ST",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490851426",
            "telephone_number": "269-985-2000",
            "fax_number": "269-985-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNJKIC JOHNSON",
        "first_name": "MARIJA",
        "name_prefix": "Mrs.",
        "credential": "MA, LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-29",
        "last_updated": "2012-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401011543",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MI",
            "license": "6401011543",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIJA",
            "last_name": "SUNJKIC",
            "prefix": "MS.",
            "credential": "MA, LPC, NCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Joseph, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.