Individual provider Active NPI

Nykia E Johnson, LPC

  • Professional Counselor
  • Redford, MI
National Provider Identifier
1467810846
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401225051 Issued in MI
Practice address
26847 Grand River Ave
Ste. 20
Redford, MI 48240-1544
Phone
(313) 535-1019
Fax
(313) 535-1019
NPI assigned
Feb 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401014990 MI
Professional Counselor 101YP2500X 6401225051 MI Primary

Addresses

Primary practice location

26847 Grand River Ave
Ste. 20
Redford, MI 48240-1544

Mailing address

26847 Grand River Ave Ste 20
Redford, MI 48240-1544
Phone (313) 535-1019

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

LicenseStateTypeSpecialty
6401014990MIMDProfessional Counselor
6401225051MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Breakthrough Counseling, LLC CurrentSince Apr 6, 2025 Accepting new patients

Locations

26847 Grand River Ave
Ste 20
Redford, MI 48240
Phone (313) 535-1019

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1454284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1467810846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26847 GRAND RIVER AVE STE 20",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482401544",
            "telephone_number": "313-535-1019",
            "fax_number": "313-535-1019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26847 GRAND RIVER AVE",
            "address_2": "STE. 20",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482401544",
            "telephone_number": "313-535-1019",
            "fax_number": "313-535-1019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "NYKIA",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-01",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401014990",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401225051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; 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.