Dianna Lee Johnson, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801094808 Issued in MI

Practice address

3180 Racquet Club Dr Ste G
Traverse City, MI 49684-4797

Phone

(231) 933-4009

NPI assigned

Dec 13, 2011

Sex

Female

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

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bay Area Counseling, LLCGroup PAC ID 2466440383, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Bay Area Counseling, LLC

  • Psychologist
  • Traverse City, MI
  • NPI 1902947088

  Clinical

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1323734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577923200000",
    "number": "1497023832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10656 S TIMBERLEE DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496848427",
            "telephone_number": "231-883-3085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3180 RACQUET CLUB DR STE G",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496844797",
            "telephone_number": "231-933-4009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Hastings St",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496863445",
            "country_code": "US",
            "telephone_number": "231-947-8110",
            "fax_number": "231-947-3522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DIANNA",
        "middle_name": "LEE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-13",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801094808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alison Johns, RN
• Bailey Elaine Johnson
• Beau Johnson, PA
• Brandi Christine Johnson
• Dena Marie Johnson, ATC
• Emily Elayne Johnson, D.C.
• Emily Rae Johnson I
• Glen Lee Johnson, PH.D.
• Jesse Clark Johnson, M.D.
• Julie K Johnson, D.O.

• Clinical Social Worker in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.