Christallin Johnson

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

1121 East MC Nichols
Detroit, MI 48203

Phone

(313) 365-3100

NPI assigned

Dec 22, 2015

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Detroit Recovery Project

  • Community/Behavioral Health Agency
  • Detroit, MI
  • NPI 1578850251
  NPD (past)

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

{
    "created_epoch": "1450742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450742400000",
    "number": "1679938435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 EAST MC NICHOLS",
            "address_2": "250129",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48203",
            "telephone_number": "313-365-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 EAST MC NICHOLS",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48203",
            "telephone_number": "313-365-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CHRISTALLIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-22",
        "last_updated": "2015-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chantell Renee Johnson
• Charise Johnson
• Charles Marvin Johnson, D.P.M.
• Charnita Johnson, LLMSW
• Chelsea Miguel Johnson, MD
• Christin Johnson
• Christina Johnson
• Christine M Johnson, PT, CSCS
• Chyleetzia Johnson, LLPC
• Claude Johnson, CRNA

• Counselor in Detroit, MI
• Providers in Detroit, MI by specialty
• Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2015; 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.