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RAPHAEL DAVID JOHNSON MA, LLC
NPI 1780400259
Counselor - Mental Health in Portage, MI

Active since November 29, 2024
6070 NEWPORT RD, PORTAGE, MI 49002(269) 409-3000 Get Directions Write a Review

NPPES record last updated: November 29, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Raphael David Johnson Ma, Llc NPPES

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

RAPHAEL DAVID JOHNSON MA, LLC (NPI 1780400259) is an individual mental health provider in Portage, Michigan, licensed in Michigan (6451024063) and active in the NPI registry since November 2024.

NPPES Registry Identity

NPI1780400259
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameRAPHAEL DAVID JOHNSONCredential: MA, LLC
Location Address6070 NEWPORT RDPortage, MI 49002-9234
Mailing Address6070 Newport RdPortage, MI 49002-9234 · (269) 409-3000
Phone(269) 409-3000
Sole ProprietorYes
Enumeration DateNovember 29, 2024
NPPES CertifiedNovember 29, 2024
✔ NPI 1780400259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MI · 6451024063
6070 NEWPORT RD, Portage, MI 49002
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Other Providers at the Same Location NPPES 7

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

CRAIG BOLTHOUSE LLMSW
Counselor (Mental Health)
6070 NEWPORT RD
PORTAGE, MI 49002
Kalamazoo County (269) 409-3000
GRACE SHANNON
Counselor
6070 NEWPORT RD
PORTAGE, MI 49002
Kalamazoo County (269) 409-3000
AMY PRADNA-WAUGAMAN LPC, LLMFT
Counselor (Professional)
6070 NEWPORT RD
PORTAGE, MI 49002
Kalamazoo County (269) 409-3000
AUBRIE CASE LLPC
Counselor (Mental Health)
6070 NEWPORT RD
PORTAGE, MI 49002
Kalamazoo County (269) 409-3000
WILLIAM BARANSKI NURSE PRACTITIONER
Nurse Practitioner (Psychiatric/Mental Health)
6070 NEWPORT RD
PORTAGE, MI 49002
Kalamazoo County (269) 409-3000
MRS. JUSTICE NICOLE SPEARRITT LMSW
Counselor (Addiction (Substance Use Disorder))
6070 NEWPORT RD
PORTAGE, MI 49002
Kalamazoo County (269) 409-3000
KATHLEEN PIECUCH LPC
Counselor (Professional)
6070 NEWPORT RD
PORTAGE, MI 49002
Kalamazoo County (269) 409-3000

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 Raphael Johnson's NPI number?

The NPI number for Raphael Johnson is 1780400259. It was assigned to this individual provider in the NPPES registry on November 29, 2024.

Where is Raphael Johnson located?

Raphael Johnson practices at 6070 Newport Rd, Portage, MI 49002. The listed phone number is (269) 409-3000.

What is Raphael Johnson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Raphael Johnson was last updated on November 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.