Active NPI
Joy Elizabeth Inniss-Johnson, LPC, CRC, CAAC, CCS
- Counselor
- Detroit, MI
National Provider Identifier
1316062052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 6401007295
- Practice address
- 4646 John R. Road
John D. Dingell VA Medical Center - Mental Health
Detroit, MI 48201-2410 - Phone
- (313) 576-1000
- Fax
- (313) 576-1074
- NPI assigned
- Mar 20, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 6401007295 | MI | Primary |
Addresses
Primary practice location
4646 John R. Road
John D. Dingell VA Medical Center - Mental Health
Detroit, MI 48201-2410
Mailing address
4646 John R. Road
Johnson D. Dingell VA Medical Center - Mental Health
Detroit, MI 48201-2410
Phone (313) 576-1000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366491136 | Other | MI | MENTAL HEALTH |
| 1366491136 | Other | MI | JOHN D. DINGELL VA MEDICAL CENTER |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401007295 | MI | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1261526400000",
"number": "1316062052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4646 JOHN R. ROAD",
"address_2": "JOHNSON D. DINGELL VA MEDICAL CENTER - MENTAL HEALTH",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012410",
"telephone_number": "313-576-1000",
"fax_number": "313-576-1074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4646 JOHN R. ROAD",
"address_2": "JOHN D. DINGELL VA MEDICAL CENTER - MENTAL HEALTH",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012410",
"telephone_number": "313-576-1000",
"fax_number": "313-576-1074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INNISS-JOHNSON",
"first_name": "JOY",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "LPC, CRC, CAAC, CCS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-20",
"last_updated": "2009-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MI",
"license": "6401007295",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MENTAL HEALTH",
"identifier": "1366491136",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHN D. DINGELL VA MEDICAL CENTER",
"identifier": "1366491136",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.