Active NPI
Jeffrey S. Johnson, B.S., M.A., LLPC
- Professional Counselor
- Mason, MI
National Provider Identifier
1992256374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401015590
- Practice address
- 108 Okemos St
Mason, MI 48854-1263 - Phone
- (517) 281-2307
- NPI assigned
- Oct 20, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6401015590 | MI | Primary |
Addresses
Primary practice location
108 Okemos St
Mason, MI 48854-1263
Mailing address
108 Okemos St
Mason, MI 48854-1263
Phone (517) 281-2307
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Science, Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401015590 | MI | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492819200000",
"number": "1992256374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 OKEMOS ST",
"city": "MASON",
"state": "MI",
"postal_code": "488541263",
"telephone_number": "517-281-2307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 OKEMOS ST",
"city": "MASON",
"state": "MI",
"postal_code": "488541263",
"telephone_number": "517-281-2307"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "JEFFREY",
"middle_name": "S.",
"credential": "B.S., M.A., LLPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-10-20",
"last_updated": "2017-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401015590",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mason, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.