Public Protection LLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

104040 Issued in MI

Legal business name

PUBLIC PROTECTION LLC

Practice address

84 S Seaway Dr
Norton Shores, MI 49444-3841

Phone

(231) 733-9800

Fax

(231) 733-1949

NPI assigned

Mar 4, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Michael Anthony Johnson, ICADC, HS-BCP, CADC

Title

Executive Director

Phone

(231) 733-9800

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Public Protection Transitional Substance Abuse Services Doing business as

Locations

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

{
    "created_epoch": "1172966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398297600000",
    "number": "1316076631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 S SEAWAY DR",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494443841",
            "telephone_number": "231-733-9800",
            "fax_number": "231-733-1949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 S SEAWAY DR",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494443841",
            "telephone_number": "231-733-9800",
            "fax_number": "231-733-1949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUBLIC PROTECTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-04",
        "last_updated": "2014-04-24",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "231-733-9800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ICADC, HS-BCP, CADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "104040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316076631",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Public Protection Transitional Substance Abuse Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Addiction (Substance Use Disorder) Counselor in Norton Shores, MI
• Providers in Norton Shores, MI by specialty
• Addiction (Substance Use Disorder) Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2014; 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.