Active NPI
Michael Brian Johnson, M.A. LPC
- Professional Counselor
- West Bloomfield, MI
National Provider Identifier
1124307772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401011011
- Practice address
- 6960 Orchard Lake Rd
Suite 100
West Bloomfield, MI 48322-4515 - Phone
- (248) 626-1500
- NPI assigned
- Aug 15, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6401011011 | MI | Primary |
Addresses
Primary practice location
6960 Orchard Lake Rd
Suite 100
West Bloomfield, MI 48322-4515
Mailing address
24680 Thorndyke St
Southfield, MI 48033-2926
Phone (248) 356-2417
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6401011011 | MI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Counseling Associates Inc | Past | Accepting new patients | |
| Carol a. Roekle, M.D., P.C. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Farmington Hills, MI
- NPI 1659419257
-
- Mental Health Counselor
- West Bloomfield, MI
- NPI 1629069471
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313366400000",
"number": "1124307772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24680 THORNDYKE ST",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480332926",
"telephone_number": "248-356-2417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6960 ORCHARD LAKE RD",
"address_2": "SUITE 100",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483224515",
"telephone_number": "248-626-1500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "MICHAEL",
"middle_name": "BRIAN",
"credential": "M.A. LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-15",
"last_updated": "2011-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401011011",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Bloomfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.