Angela Nichoele Johnson, LLPC, LBSW

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401006332 Issued in MI

Practice address

677A East Main
Centreville, MI 49032

Phone

(269) 467-1000

NPI assigned

Dec 29, 2008

Last updated

May 24, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Ms. Angela Mucha Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Angela Mucha LPC & Brian Scott LPC LLC

  • Mental Health Counselor
  • Schoolcraft, MI
  • NPI 1538855952
  NPD
• Angela Mucha, LPC & Brian Scott , LPC, LLC

  • Professional Counselor
  • Schoolcraft, MI
  • NPI 1790524080
  NPD

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

{
    "created_epoch": "1230508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716508800000",
    "number": "1235375031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 N GRAND ST STE C",
            "city": "SCHOOLCRAFT",
            "state": "MI",
            "postal_code": "490879203",
            "telephone_number": "269-858-8722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "677A EAST MAIN",
            "city": "CENTREVILLE",
            "state": "MI",
            "postal_code": "49032",
            "telephone_number": "269-467-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ANGELA",
        "middle_name": "NICHOELE",
        "name_prefix": "Mrs.",
        "credential": "LLPC, LBSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-29",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401006332",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6802076432",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1708146",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "MUCHA",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sarah Howk
• Lauri Hummel, LMSW
• Bruce Ronald Hyde, MD
• Elizabeth Jansen, LLMSW
• Amanda Lynn Johnson, LMSW - CLINICAL
• Erin Johnson
• Karah Dennell Johnson, LLMSW
• Michelle Johnson, BSW
• Stevie Johnson
• Amy Jones

• Professional Counselor in Centreville, MI
• Providers in Centreville, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; 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.