MR. SAMUEL LEE JOHNSON III CAC, CCGC
NPI 1184095556
Counselor - Addiction (Substance Use Disorder) in Harvey, LA

Active since October 12, 2015
2439 MANHATTAN BLVD STE 102-4, HARVEY, LA 70058(504) 261-4976(504) 766-8457 Get Directions Write a Review

NPPES record last updated: January 12, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 12, 2021, Nov 30, 2020, Aug 7, 2020 and 3 more (6 updates tracked since 2016).

About Mr. Samuel Lee Johnson Iii Cac, Ccgc NPPES

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

MR. SAMUEL LEE JOHNSON III CAC, CCGC (NPI 1184095556) is an individual addiction (substance use disorder) provider in Harvey, Louisiana, licensed in Louisiana (1603) and active in the NPI registry since October 2015. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1184095556
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. SAMUEL LEE JOHNSON IIICredential: CAC, CCGC
Location Address2439 MANHATTAN BLVD STE 102-4Harvey, LA 70058-5473
Mailing AddressPo Box 2637Harvey, LA 70059-2637 · (504) 261-4976 · Fax (504) 766-6792
Fax(504) 766-8457
Sole ProprietorYes
Enumeration DateOctober 12, 2015
Last NPPES UpdateJanuary 12, 20216 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2021
NPI 1184095556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 13

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in LA · 1603
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCounselor · PastoralTaxonomy 101YP1600X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 5006 (LA)
Also ListedPsychologist · CounselingTaxonomy 103TC1900X
Also ListedMilitary Health Care ProviderTaxonomy 171000000X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedPeer SpecialistTaxonomy 175T00000X
Also ListedRehabilitation CounselorTaxonomy 225C00000X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedNon-emergency Medical Transport (VAN)Taxonomy 343900000X · License 010494439 (LA)
2439 MANHATTAN BLVD STE 102-4, Harvey, LA 70058

Secondary Practice Locations 2

Location 14120 Eve StreetNew Orleans, LA 70121 · Phone (504) 444-9883 · Fax (504) 266-2855
Location 22637 Edenborn Ave Ste 302Metairie, LA 70002 · Phone (504) 455-2446 · Fax (504) 455-7626

Other Identifiers 1

Other461582868LA · 461582868

Other Providers at the Same Location NPPES 2

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

Non-emergency Medical Transport (VAN)
2439 MANHATTAN BLVD STE 102-4
HARVEY, LA 70058
Counselor (Addiction (Substance Use Disorder))
2439 MANHATTAN BLVD STE 102-4
HARVEY, LA 70058

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 Samuel Johnson's NPI number?

The NPI number for Samuel Johnson is 1184095556. It was assigned to this individual provider in the NPPES registry on October 12, 2015.

Where is Samuel Johnson located?

Samuel Johnson practices at 2439 Manhattan Blvd Ste 102-4, Harvey, LA 70058. The listed phone number is (504) 261-4976.

What is Samuel Johnson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Samuel Johnson was last updated on January 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.