LOLETA JOHNSON
NPI 1639743230
Counselor - Professional in Southfield, MI

Active since May 18, 2021PECOS Enrolled
29501 GREENFIELD RD STE 132, SOUTHFIELD, MI 48076(248) 207-9242 Get Directions Write a Review

NPPES record last updated: May 18, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Loleta Johnson NPPES

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

LOLETA JOHNSON (NPI 1639743230) is an individual professional provider in Southfield, Michigan and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1639743230
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameLOLETA JOHNSON
Location Address29501 GREENFIELD RD STE 132Southfield, MI 48076-2250
Mailing Address29501 Greenfield Rd Ste 132Southfield, MI 48076-2250 · (248) 469-8141
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateMay 18, 2021
NPPES CertifiedMay 18, 2021
✔ NPI 1639743230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
29501 GREENFIELD RD STE 132, Southfield, MI 48076

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Loleta Johnson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2062918170
PECOS Enrollment IDI20250929001924
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Loleta Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
24500 FORD RD STE 3
Dearborn Heights, MI 48127
  • Reassigned Medicare billing, Michigan enrollment

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 4

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

Counselor (Professional)
29501 GREENFIELD RD STE 132
SOUTHFIELD, MI 48076
Counselor (Professional)
29501 GREENFIELD RD STE 132
SOUTHFIELD, MI 48076
Community/Behavioral Health
29501 GREENFIELD RD STE 132
SOUTHFIELD, MI 48076
Counselor (Mental Health)
29501 GREENFIELD RD STE 132
SOUTHFIELD, MI 48076

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 Loleta Johnson's NPI number?

The NPI number for Loleta Johnson is 1639743230. It was assigned to this individual provider in the NPPES registry on May 18, 2021.

Where is Loleta Johnson located?

Loleta Johnson practices at 29501 Greenfield Rd Ste 132, Southfield, MI 48076. The listed phone number is (248) 207-9242.

What is Loleta Johnson's specialty?

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

Is Loleta Johnson enrolled in Medicare?

Yes. Loleta Johnson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Loleta Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Loleta Johnson reassigns Medicare benefits to Heart To Heart Therapy LLC (Dearborn Heights, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Loleta Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Loleta Johnson accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Loleta Johnson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Loleta Johnson was last updated on May 18, 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.