Mbwana Mwai Samuel Johnson, MS, CRC, CASAS

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

28675 Issued in NY

Practice address

2470 Allen Ave
Niagara Falls, NY 14303-1908

Phone

(716) 285-3421

Fax

(716) 285-3438

NPI assigned

Apr 11, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1681171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1740975051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2470 ALLEN AVE",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143031908",
            "telephone_number": "716-285-3421",
            "fax_number": "716-285-3438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2470 ALLEN AVE",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143031908",
            "telephone_number": "716-285-3421",
            "fax_number": "716-285-3438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MBWANA",
        "middle_name": "MWAI SAMUEL",
        "credential": "MS, CRC, CASAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-11",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "28675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Johnson, RN
• Hanna Leigh Johnson
• Jessica Marie Johnson
• Keith W. Johnson Sr.
• Kimberly Michele Johnson
• Amanda Maureen Jordan, PHYSICIAN ASSISTANT
• Ka-Shara Jordon, LMSW
• Teresa Ann Josey, MS
• Ryan Alfred Joyce, PT,DPT,CSCS
• Julie Kacz, DNP, FNP

• Addiction (Substance Use Disorder) Counselor in Niagara Falls, NY
• Providers in Niagara Falls, NY by specialty
• Addiction (Substance Use Disorder) Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; 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.