Individual provider Active NPI

Bruce M Johnson

  • Mental Health Counselor
  • Westland, MI
National Provider Identifier
1033743091
Registry record updated Oct 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401223542 Issued in MI
Practice address
32715 Dorsey St
Westland, MI 48186-4755
Phone
(734) 641-1141
NPI assigned
Feb 28, 2020
Last updated
Oct 5, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6401223542 MI Primary

Addresses

Primary practice location

32715 Dorsey St
Westland, MI 48186-4755

Mailing address

3075 E Grand River Ave Ste 108
Howell, MI 48843-6585
Phone (248) 912-2359

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240212003735 MI Practitioner - Mental Health Counselor 7618310194 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wolf Psychological Services PLLCGroup PAC ID 5799061057, 3 clinicians

Practice addresses (Care Compare)

3830 Packard St
Suite 110
Ann Arbor, MI 48108-2051
Phone (734) 418-6956

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Beginning Step Inc. Addiction (Substance Use Disorder) CurrentSince Mar 1, 2020 Accepting new patients
New Dawn Wellness Center, PLLC Current Accepting new patients
Beginning Step, LLC CurrentSince Mar 1, 2020 Accepting new patients
Bridges to Veterans PastSince Aug 6, 2023 Accepting new patients

Locations

32715 Dorsey St
Westland, MI 48186
Phone (734) 641-1141

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1582848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791158400000",
    "number": "1033743091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3075 E GRAND RIVER AVE STE 108",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488436585",
            "telephone_number": "248-912-2359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32715 DORSEY ST",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481864755",
            "telephone_number": "734-641-1141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "BRUCE",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-28",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401223542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westland, MI

Sources for this page

Verify at the official NPI Registry.