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MR. TOMMIE EARL JOHNSON LLMSW
NPI 1255926143
Prevention Professional in Grandville, MI

Active since March 03, 2021
3584 FAIRLANES AVE SW STE 2, GRANDVILLE, MI 49418(616) 222-5300(616) 531-0447 Get Directions Write a Review

NPPES record last updated: March 3, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Tommie Earl Johnson Llmsw NPPES

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

MR. TOMMIE EARL JOHNSON LLMSW (NPI 1255926143) is an individual prevention professional provider in Grandville, Michigan, licensed in Michigan (680115877) and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1255926143
Entity TypeIndividualMale
Primary Taxonomy405300000X
Provider Legal NameMR. TOMMIE EARL JOHNSONCredential: LLMSW
Location Address3584 FAIRLANES AVE SW STE 2Grandville, MI 49418-1583
Mailing Address3584 Fairlanes Ave Sw Ste 2Grandville, MI 49418-1583 · (616) 222-5300
Phone(616) 222-5300
Fax(616) 531-0447
Sole ProprietorYes
Enumeration DateMarch 3, 2021
NPPES CertifiedMarch 3, 2021
✔ NPI 1255926143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPrevention ProfessionalOther Service Providers
Taxonomy Code405300000X
License✔ Licensed in MI · 680115877
Definition
Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work.
Also ListedPsychologist · Intellectual and Developmental DisabilitiesTaxonomy 103TM1800X
3584 FAIRLANES AVE SW STE 2, Grandville, MI 49418
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 14

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

JULIE ANNE BROCKMAN APRN-CNP
Family Medicine (Addiction Medicine)
3584 FAIRLANES AVE SW STE 2
GRANDVILLE, MI 49418
Kent County (616) 797-2124
MS. DAESHA LYNNE CANALES LPN
Licensed Practical Nurse
3584 FAIRLANES AVE SW STE 2
GRANDVILLE, MI 49418
Kent County (616) 222-5300
HEATHER NICHOLE LITTLE B.S.
Counselor (Addiction (Substance Use Disorder))
3584 FAIRLANES AVE SW STE 2
GRANDVILLE, MI 49418
Kent County (616) 222-5300
TORI TRUAX BS
Case Manager/Care Coordinator
3584 FAIRLANES AVE SW STE 2
GRANDVILLE, MI 49418
Kent County (616) 222-5300
MS. JENNIFER BALANGUE BARNETT
Counselor (Addiction (Substance Use Disorder))
3584 FAIRLANES AVE SW STE 2
GRANDVILLE, MI 49418
Kent County (616) 222-5300
REYNA BECKER RABAGO MS
Counselor (Addiction (Substance Use Disorder))
3584 FAIRLANES AVE SW STE 2
GRANDVILLE, MI 49418
Kent County (616) 222-5300
ANGELA LONG
Counselor
3584 FAIRLANES AVE SW STE 2
GRANDVILLE, MI 49418
Kent County (616) 222-5300
CHANIYA CLARK LLBSW
Social Worker
3584 FAIRLANES AVE SW STE 2
GRANDVILLE, MI 49418
Kent County (616) 797-2124

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 Tommie Johnson's NPI number?

The NPI number for Tommie Johnson is 1255926143. It was assigned to this individual provider in the NPPES registry on March 3, 2021.

Where is Tommie Johnson located?

Tommie Johnson practices at 3584 Fairlanes Ave SW Ste 2, Grandville, MI 49418. The listed phone number is (616) 222-5300.

What is Tommie Johnson's specialty?

The primary specialty registered for this NPI is Prevention Professional with taxonomy code 405300000X.

When was this NPI record last updated?

The NPPES record for Tommie Johnson was last updated on March 3, 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.