Diane Marie Johnston, LLPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6401017050 Issued in MI

Practice address

882 Oakman Blvd
Detroit, MI 48238-3710

Phone

(313) 875-7601

NPI assigned

Feb 12, 2019

Reactivated

Nov 13, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

Specialty

Mental Health Counselor

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Diane Johnston PLLC

  • Mental Health Counselor
  • Rochester, MI
  • NPI 1710619333
  Medicare reassignment NPD Authorized official
• Thaar Care Foundation, Inc

  dba Thaar Care Counseling

  • Mental Health Counselor
  • Sterling Heights, MI
  • NPI 1508463126
  Medicare reassignment NPD
• Ameriflex Home Health Care, Inc.

  • Home Health Agency
  • Sterling Heights, MI
  • NPI 1861592750
  NPD (past)

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

{
    "created_epoch": "1549929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573689600000",
    "number": "1184180465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 DUNHAM DR",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483064804",
            "telephone_number": "248-913-5290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "882 OAKMAN BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482383710",
            "telephone_number": "313-875-7601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2025 Dunham Dr",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "MI",
            "postal_code": "483064804",
            "country_code": "US",
            "telephone_number": "248-913-5290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "DIANE",
        "middle_name": "MARIE",
        "credential": "LLPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-12",
        "last_updated": "2019-11-14",
        "deactivation_date": "2019-08-16",
        "reactivation_date": "2019-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401017050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1184180465",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ROCHESTER",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "ROCHESTER",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "ROCHESTER",
            "address_1": "2025 Dunham Dr",
            "city": "Rochester",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483064804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Willie Joyce Johnson, NURSING ASSISTANT
• Yulonda Johnson
• Zena Iman Johnson
• Johnsons Dialysis Management LLC (Bingham Care PT)
• Bronwyn Johnston, LMSW, CTP
• Jaclyn Johnston, M.A.
• Lyndi Johnston, MA, LPC
• Rebecca Escamilla Johnston, FNP-C
• Jonathan Daniel Joiner, DO
• Michelle Cecilia Joiner, LPC

• Mental Health Counselor in Detroit, MI
• Providers in Detroit, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.