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J MICHAEL JOHNSON
NPI 1811713043
Clinic/Center - Mental Health (Including Community Mental Health Center) in Broken Arrow, OK

Active since December 03, 2024
2548 E KENOSHA ST, BROKEN ARROW, OK 74014(918) 355-0993(918) 355-0995 Get Directions Write a Review

NPPES record last updated: December 3, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About J Michael Johnson NPPES

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

J MICHAEL JOHNSON (NPI 1811713043) is an individual mental health (including community mental health center) provider in Broken Arrow, Oklahoma and active in the NPI registry since December 2024.

NPPES Registry Identity

NPI1811713043
Entity TypeIndividualMale
Primary Taxonomy261QM0801X
Provider Legal NameJ MICHAEL JOHNSON
Location Address2548 E KENOSHA STBroken Arrow, OK 74014-6712
Mailing Address2548 E Kenosha StBroken Arrow, OK 74014-6712 · (918) 355-0993 · Fax (918) 355-0995
Phone(918) 355-0993
Fax(918) 355-0995
Sole ProprietorYes
Enumeration DateDecember 3, 2024
NPPES CertifiedDecember 3, 2024
✔ NPI 1811713043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
2548 E KENOSHA ST, Broken Arrow, OK 74014
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Other Providers at the Same Location NPPES 20

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

GABRIELLA VELIZ
Case Manager/Care Coordinator
2548 E KENOSHA ST
BROKEN ARROW, OK 74014
Wagoner County (918) 355-0993
MRS. HADEACHA A SMITH
Case Manager/Care Coordinator
2548 E KENOSHA ST
BROKEN ARROW, OK 74014
Wagoner County (918) 355-0993
WADE BAILEY POTTER
Counselor
2548 E KENOSHA ST
BROKEN ARROW, OK 74014
Wagoner County (918) 355-0993
MR. CHAD SHINER MCDANIEL
Case Manager/Care Coordinator
2548 E KENOSHA ST
BROKEN ARROW, OK 74014
Wagoner County (918) 382-7300
STHEMBISO MITCHELLE MASEKO
Case Manager/Care Coordinator
2548 E KENOSHA ST
BROKEN ARROW, OK 74014
Wagoner County (918) 355-0993
REBEKAH FAITH-MARIE WEBSTER
Case Manager/Care Coordinator
2548 E KENOSHA ST
BROKEN ARROW, OK 74014
Wagoner County (918) 355-0995
CHERLINE CARMEN NELSON
Clinic/Center (Mental Health (Including Community Mental Health Center))
2548 E KENOSHA ST
BROKEN ARROW, OK 74014
Wagoner County (918) 355-0993
BETHANY LEIGH NOBLE
Case Manager/Care Coordinator
2548 E KENOSHA ST
BROKEN ARROW, OK 74014
Wagoner County (918) 355-0993

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 J Johnson's NPI number?

The NPI number for J Johnson is 1811713043. It was assigned to this individual provider in the NPPES registry on December 3, 2024.

Where is J Johnson located?

J Johnson practices at 2548 E Kenosha St, Broken Arrow, OK 74014. The listed phone number is (918) 355-0993.

What is J Johnson's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for J Johnson was last updated on December 3, 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.