Individual provider Active NPI

Denise June Johnson, LPC, NCC

  • Professional Counselor
  • Jackson, MI
National Provider Identifier
1831697317
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401009109 Issued in MI
Practice address
906 Lincoln St
Jackson, MI 49202-3251
Phone
(517) 962-2932
NPI assigned
Jan 30, 2018
Last updated
Jan 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401009109 MI Primary

Addresses

Primary practice location

906 Lincoln St
Jackson, MI 49202-3251

Mailing address

906 Lincoln St
Jackson, MI 49202-3251
Phone (517) 962-2932

Other identifiers 2

IdentifierTypeStateIssuer
295858OtherNATIONAL BOARD OF COUNSELOR CERTIFICATION
6401009109OtherMISTATE OF MICHIGAN

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
I20240201002639 MI Practitioner - Mental Health Counselor 0244683639 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monarch Counseling LLCGroup PAC ID 2769763978, 7 clinicians

Practice addresses (Care Compare)

923 S Lansing St
Mason, MI 48854-1917
Phone (517) 980-5980

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401009109MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
His Peace Counseling Counselor Current Accepting new patients
Monarch Counseling LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

3355 Dunckel Rd
Lansing, MI 48911
Phone (517) 930-3071

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1517270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1831697317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 LINCOLN ST",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492023251",
            "telephone_number": "517-962-2932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 LINCOLN ST",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492023251",
            "telephone_number": "517-962-2932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DENISE",
        "middle_name": "JUNE",
        "credential": "LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-30",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401009109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL BOARD OF COUNSELOR CERTIFICATION",
            "identifier": "295858",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MICHIGAN",
            "identifier": "6401009109",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

Verify at the official NPI Registry.