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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SAMANTHA LYNNE JOHNSON LLPC CRC
NPI 1104697218
Counselor - Professional in Saint Clair Shores, MI

Active since January 09, 2024
21611 E 11 MILE RD, SAINT CLAIR SHORES, MI 48081(586) 944-2902 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Samantha Lynne Johnson Llpc Crc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMANTHA LYNNE JOHNSON LLPC CRC (NPI 1104697218) is an individual professional provider in Saint Clair Shores, Michigan, licensed in Michigan (6451023282) and active in the NPI registry since January 2024.

NPPES Registry Identity

NPI1104697218
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSAMANTHA LYNNE JOHNSONCredential: LLPC CRC
Location Address21611 E 11 MILE RDSaint Clair Shores, MI 48081-1636
Mailing Address11638 Charest StHamtramck, MI 48212-3027 · (248) 880-2131
Phone(586) 944-2902
Sole ProprietorYes
Enumeration DateJanuary 9, 2024
Last NPPES UpdateJune 29, 2026
NPPES CertifiedJune 29, 2026
✔ NPI 1104697218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MI · 6451023282
21611 E 11 MILE RD, Saint Clair Shores, MI 48081
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Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SYLVIA ROSE JOHNSON
Social Worker (Clinical)
21611 E 11 MILE RD
SAINT CLAIR SHORES, MI 48081
Macomb County (248) 330-5770
ELIZABETH LUIDENS LLMSW
Social Worker (Clinical)
21611 E 11 MILE RD
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 944-2902
MICHIGAN CENTER FOR TRAUMATIC STRESS
Clinic/Center (Adult Mental Health)
21611 E 11 MILE RD
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 944-2902
BREANNA HARRIS LMSW
Social Worker
21611 E 11 MILE RD
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 944-2902
MICHIGAN CENTER FOR TRAUMATIC STRESS
Social Worker (Clinical)
21611 E 11 MILE RD
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 944-2902
KAYLA NABOZNY MA, LLC
Counselor (Mental Health)
21611 E 11 MILE RD
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 944-2902
MONIKA SALADIAK LPC
Counselor (Professional)
21611 E 11 MILE RD
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 925-6141
ALONDRA MARIA PERKINS
Social Worker (Clinical)
21611 E 11 MILE RD
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 944-2902

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samantha Johnson's NPI number?

The NPI number for Samantha Johnson is 1104697218. It was assigned to this individual provider in the NPPES registry on January 9, 2024.

Where is Samantha Johnson located?

Samantha Johnson practices at 21611 E 11 Mile Rd, Saint Clair Shores, MI 48081. The listed phone number is (586) 944-2902.

What is Samantha Johnson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Samantha Johnson was last updated on June 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 45 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.