Individual provider Active NPI

Loleta Johnson

  • Professional Counselor
  • Southfield, MI
National Provider Identifier
1639743230
Registry record updated May 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
29501 Greenfield Rd Ste 132
Southfield, MI 48076-2250
Phone
(248) 207-9242
NPI assigned
May 18, 2021
Last updated
May 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

29501 Greenfield Rd Ste 132
Southfield, MI 48076-2250

Mailing address

29501 Greenfield Rd Ste 132
Southfield, MI 48076-2250
Phone (248) 469-8141

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250929001924 MI Practitioner - Mental Health Counselor 2062918170 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

45 Turnberry LN
Dearborn, MI 48120-1167

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Heart to Heart Therapy LLC Single Specialty CurrentSince Aug 19, 2025 Accepting new patients
Siebert Psychotherapy Services CurrentSince May 25, 2021 Accepting new patients

Locations

24500 Ford Rd
Ste 3
Dearborn Heights, MI 48127
Phone (248) 629-9169

29501 Greenfield Rd
Ste 132
Southfield, MI 48076
Phone (248) 207-9242

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1621296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621296000000",
    "number": "1639743230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29501 GREENFIELD RD STE 132",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480762250",
            "telephone_number": "248-469-8141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29501 GREENFIELD RD STE 132",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480762250",
            "telephone_number": "248-207-9242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LOLETA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-18",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.