Stephan Johnson

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1009 W Ridge St
Marquette, MI 49855-3997

Phone

(906) 228-6545

Fax

(906) 228-8236

NPI assigned

Mar 14, 2024

Last updated

Mar 14, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Great Lakes Recovery Centers

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Escanaba, MI
  • NPI 1679714083
  NPD (past)
• Great Lakes Recovery Centers

  • Substance Abuse Rehabilitation Facility
  • Ironwood, MI
  • NPI 1821267956
  NPD (past)

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

{
    "created_epoch": "1710374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1417716374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 S 4TH ST",
            "city": "ISHPEMING",
            "state": "MI",
            "postal_code": "498492168",
            "telephone_number": "906-228-9699",
            "fax_number": "888-972-2109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 W RIDGE ST",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498553997",
            "telephone_number": "906-228-6545",
            "fax_number": "906-228-8236"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 Mesnard St",
            "address_purpose": "LOCATION",
            "city": "Lanse",
            "state": "MI",
            "postal_code": "499461127",
            "country_code": "US",
            "telephone_number": "906-275-2046",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "220 Roosevelt St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Ironwood",
            "state": "MI",
            "postal_code": "499381737",
            "country_code": "US",
            "telephone_number": "906-364-7506",
            "fax_number": "906-364-7508",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1115 S Hemlock St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Iron Mountain",
            "state": "MI",
            "postal_code": "498013800",
            "country_code": "US",
            "telephone_number": "906-774-2561",
            "fax_number": "906-774-2597",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "920 W Water St",
            "address_purpose": "LOCATION",
            "city": "Hancock",
            "state": "MI",
            "postal_code": "499301949",
            "country_code": "US",
            "telephone_number": "906-482-7710",
            "fax_number": "906-523-9687",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 Sandpoint Rd",
            "address_purpose": "LOCATION",
            "city": "Munising",
            "state": "MI",
            "postal_code": "498621406",
            "country_code": "US",
            "telephone_number": "906-291-3400",
            "fax_number": "906-464-4043",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Malton Rd Ste 6",
            "address_purpose": "LOCATION",
            "city": "Negaunee",
            "state": "MI",
            "postal_code": "498662002",
            "country_code": "US",
            "telephone_number": "906-485-2347",
            "fax_number": "906-486-1150",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1101 Ludington St Ste H",
            "address_purpose": "LOCATION",
            "city": "Escanaba",
            "state": "MI",
            "postal_code": "498293565",
            "country_code": "US",
            "telephone_number": "906-789-3528",
            "fax_number": "906-786-9801",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2655 Ashmun St",
            "address_purpose": "LOCATION",
            "city": "Sault Sainte Marie",
            "state": "MI",
            "postal_code": "497833711",
            "country_code": "US",
            "telephone_number": "906-632-9809",
            "fax_number": "906-632-9845",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1143 N State St # 3",
            "address_purpose": "LOCATION",
            "city": "Saint Ignace",
            "state": "MI",
            "postal_code": "497811012",
            "country_code": "US",
            "telephone_number": "906-643-0944",
            "fax_number": "906-984-4400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "STEPHAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-14",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynn Johnson, LLP
• Michelle Dawn Johnson
• Riley Johnson, MD
• Ryan Johnson
• Sally Johnson, B.S., PTA
• Stuart K Johnson, DO
• Tanya Johnson, CHW
• Gregory Daniel Jones, MD
• Gregory Sansom Jones, PHD
• Naima Jones, LLMSW

• Case Manager/Care Coordinator in Marquette, MI
• Providers in Marquette, MI by specialty
• Case Manager/Care Coordinator in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.