Michael Wayne Johnson

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

500 Broad St # 213
Lake Charles, LA 70601-4335

Phone

(337) 477-7091

Fax

(337) 474-4552

NPI assigned

Jun 14, 2017

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Acadian Holistic Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lake Charles, LA
  • NPI 1275240228
  NPD Authorized official
• Delta Health Services LLC

  • Mental Health Counselor
  • Sulphur, LA
  • NPI 1871193649
  NPD

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

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1487184347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 BROAD ST # 213",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706014335",
            "telephone_number": "337-477-7091",
            "fax_number": "337-474-4552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 BROAD ST # 213",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706014335",
            "telephone_number": "337-477-7091",
            "fax_number": "337-474-4552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MICHAEL",
        "middle_name": "WAYNE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-14",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1551228",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1063569648",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaida Zhane Johnson
• Jennifer Leigh Johnson
• Kelly Anne Johnson
• Leroy Johnson, PHARMACIST
• Mary Johnson
• Natalie Johnson
• Ronald Johnson, RAC
• Shannon C Johnson, PT
• Steven Shane Johnson
• Talissa Johnson, LPC, LMHP

• Case Manager/Care Coordinator in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Case Manager/Care Coordinator in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; 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.