Individual provider Active NPI

Sandra Jean Johnson, MSW

  • Marriage & Family Therapist
  • Lansing, MI
National Provider Identifier
1649387408
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
L833192 Issued in MI
Practice address
601 N Waverly Rd
Lansing, MI 48917-2851
Phone
(517) 285-8775
Fax
(517) 323-7524
NPI assigned
Aug 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X L903278 MI
Marriage & Family Therapist 106H00000X L833192 MI Primary

Addresses

Primary practice location

601 N Waverly Rd
Lansing, MI 48917-2851

Mailing address

2130 Cheltingham Blvd
Lansing, MI 48917-5151
Phone (517) 285-8775

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
I20050712000313 MI Practitioner - Clinical Social Worker 4082640016 Practice locations: Lansing, MI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3815 W Saint Joseph St
Suite A400
Lansing, MI 48917-5600
Phone (517) 285-8775

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L903278MIMDClinical Social Worker
L833192MIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
A New Hope Counseling Center PastSince Feb 26, 2018 Accepting new patients
Mareck Family and Geriatric Services, P.C. Clinical Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1649387408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 CHELTINGHAM BLVD",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489175151",
            "telephone_number": "517-285-8775",
            "fax_number": "517-323-7524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N WAVERLY RD",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489172851",
            "telephone_number": "517-285-8775",
            "fax_number": "517-323-7524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SANDRA",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "L903278",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MI",
            "license": "L833192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.