Amy Rene Johnson, MA, MAT, LPC, TLS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

3329608 Issued in MI

Practice address

38267 Fernhill CT
Clinton Township, MI 48038-3422

Phone

(248) 930-2909

NPI assigned

Jun 3, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1370217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1285071027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38267 FERNHILL CT",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480383422",
            "telephone_number": "248-930-2909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38267 FERNHILL CT",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480383422",
            "telephone_number": "248-930-2909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "AMY",
        "middle_name": "RENE",
        "name_prefix": "Ms.",
        "credential": "MA, MAT, LPC, TLS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-03",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "3329608",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "3329608",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3329608",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael M Joh, M.D.
• John M Dimasi DC PC
• Animol John, BPT
• Reynold M John, M.D., PHD
• Aliyah Johnson
• Chanel Georgette Johnson, LPC
• Christa Lynn Johnson
• Christopher Oneal Johnson, MD
• Evlambio Bill Johnson, RPH
• Julie Johnson

• Mental Health Counselor in Clinton Township, MI
• Providers in Clinton Township, 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 Jan 21, 2021; 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.