MR. ROBERT GERARD JOHNSON LPC SPADA CAAC NPI 1255465258

NPI Information

NPI: 1255465258
Provider Name: MR. ROBERT GERARD JOHNSON, LPC, SPADA, CAAC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
300 68TH ST SE
GRAND RAPIDS, MI
ZIP 49548
Phone: (616) 281-6363
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MR. Robert Gerard Johnson, LPC, SPADA, CAAC is a professional counselor in Grand Rapids, MI. MR. Robert Gerard Johnson, LPC, SPADA, CAAC NPI is 1255465258. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

300 68TH ST SE
GRAND RAPIDS, MI
ZIP 49548-927
Phone: (616) 281-6363
Fax: (616) 455-5460

The enumeration date for this NPI number is 3/14/2007 and was last updated on 8/30/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	C-01218	MICHIGAN	No
2	101YP2500X	Counselor	Professional	6401008579	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	NCFR	OTHER		CERTIFIED FAMILY LIFE EDUCATOR CFLE- NATIONAL COUNSEL ON FAMILY RELATIONS
2	6401008579	OTHER	MICHIGAN	PROFESSIONAL COUNSELOR
3	C-012118 CAAC	OTHER	MICHIGAN	CERTIFIED ADVANCED ADDICTION COUNSELOR

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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