Pamela Lynn Johnson, LLPC

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6802058909 Issued in MI

Practice address

230 Military St.
Port Huron, MI 48060

Phone

(810) 987-1753

Fax

(810) 987-1755

NPI assigned

Sep 27, 2006

Last updated

Sep 11, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Miss Pamela Lynn Blust Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1750472585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 MILITARY ST.",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "48060",
            "telephone_number": "810-987-1753",
            "fax_number": "810-987-1755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 MILITARY ST.",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "48060",
            "telephone_number": "810-987-1753",
            "fax_number": "810-987-1755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "PAMELA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LLPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6802058909",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "BLUST",
            "middle_name": "LYNN",
            "prefix": "MISS",
            "credential": "LLPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Annmarie Johnson, MSN, PMHNP-BP
• Cindy Johnson
• Janelle Johnson
• Jennifer Johnson, LMSW
• Kevin D Johnson, M.D.
• Cheyenne Johnston
• Jon Christopher Johnston, LMSW
• Sharon Johnston, CPNP
• Shelby Johnston, LMSW
• Jones Psychological Services PLLC

• Social Worker in Port Huron, MI
• Providers in Port Huron, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.