MISS CARLENE JOHNSON CTRS NPI 1417295890

NPI Information

  • NPI: 1417295890
  • Provider Name: MISS CARLENE JOHNSON, CTRS
  • Classification: Recreation Therapist - 225800000X
  • Entity Type: Individual
  • Address: 13871 BITTERSWEET DR
    GRAND HAVEN, MI
    ZIP 49417
  • Phone: (616) 402-7822

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NPI Details

MISS Carlene Johnson, CTRS is a recreation therapist in Grand Haven, MI. The provider is a recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. MISS Carlene Johnson, CTRS NPI is 1417295890. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

13871 BITTERSWEET DR
GRAND HAVEN, MI
ZIP 49417-450
Phone: (616) 402-7822
Fax: (855) 207-3270

The enumeration date for this NPI number is 1/20/2013 and was last updated on 1/20/2013.

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
1225800000XRecreation TherapistYes

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: 11/21/2025

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