Michael Johnson

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

2-01004 Issued in MI

Practice address

84 S Seaway Dr
Norton Shores, MI 49444-3841

Phone

(231) 733-9800

Fax

(231) 733-1949

NPI assigned

Apr 25, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Michael Anthony Johnson Other 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": "1398384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398384000000",
    "number": "1780004028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 S SEAWAY DR",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494443841",
            "telephone_number": "231-733-9800",
            "fax_number": "231-733-1949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 S SEAWAY DR",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494443841",
            "telephone_number": "231-733-9800",
            "fax_number": "231-733-1949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-25",
        "last_updated": "2014-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "2-01004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06-1756075",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAEL",
            "last_name": "JOHNSON",
            "middle_name": "ANTHONY",
            "credential": "CADC,HABCP,ICADC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• John Jendrasiak
• Davis Jennings
• Kelly M Jensen, PA-C
• Caitlin Elizabeth Jimerson, LMSW
• Amber Lynn Johnson, LLMSW
• Monique Johnson, SLP
• Rhiley Johnson, OTD, OTR/L
• Audrey Marie Judge-Ponstein
• Robbi Juergens
• Christine L Junglas, PT

• Addiction (Substance Use Disorder) Counselor in Norton Shores, MI
• Providers in Norton Shores, MI by specialty
• Addiction (Substance Use Disorder) Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2014; 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.