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DOMINIQUE JOHNSON
NPI 1891586210
Clinic/Center in Ann Arbor, MI

Active since May 15, 2025
4673 WASHTENAW AVE, ANN ARBOR, MI 48108(734) 547-5009 Get Directions Write a Review

NPPES record last updated: May 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dominique Johnson NPPES

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

DOMINIQUE JOHNSON (NPI 1891586210) is an individual clinic/center provider in Ann Arbor, Michigan and active in the NPI registry since May 2025. She maintains a secondary practice location in Ypsilanti.

NPPES Registry Identity

NPI1891586210
Entity TypeIndividualFemale
Primary Taxonomy261Q00000X
Provider Legal NameDOMINIQUE JOHNSON
Location Address4673 WASHTENAW AVEAnn Arbor, MI 48108-1301
Mailing Address1825 Eileen StYpsilanti, MI 48198-6239 · (734) 644-0685
Phone(734) 547-5009
Sole ProprietorYes
Enumeration DateMay 15, 2025
NPPES CertifiedMay 15, 2025
✔ NPI 1891586210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedClinic/Center · Community HealthTaxonomy 261QC1500X
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X
4673 WASHTENAW AVE, Ann Arbor, MI 48108
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Secondary Practice Location 1

Location 11825 Eileen StYpsilanti, MI 48198-6239 · Phone (734) 644-0685

Other Providers at the Same Location NPPES 13

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

MIKAYLA BROOKS BA, CADC-DP
Counselor (Addiction (Substance Use Disorder))
4673 WASHTENAW AVE
ANN ARBOR, MI 48108
Washtenaw County (734) 547-5009
DANIELLE CHAPARRO-YONKIN LPC
Counselor (Addiction (Substance Use Disorder))
4673 WASHTENAW AVE
ANN ARBOR, MI 48108
Washtenaw County (734) 544-1523
ALEXANDER STONE ROBERTSON
Counselor (Addiction (Substance Use Disorder))
4673 WASHTENAW AVE
ANN ARBOR, MI 48108
Washtenaw County (734) 547-5009
EARLENE EASTER CRAIG II CCAR
Peer Specialist
4673 WASHTENAW AVE
ANN ARBOR, MI 48108
Washtenaw County (734) 547-5009
MISS MCKENNA MARIE BAUSMAN
Counselor (Addiction (Substance Use Disorder))
4673 WASHTENAW AVE
ANN ARBOR, MI 48108
Washtenaw County (734) 547-5009
MR. TERRANCE JEROME BYRD LPN
Licensed Practical Nurse
4673 WASHTENAW AVE
ANN ARBOR, MI 48108
Washtenaw County (734) 547-5009
CAITLIN RUTH KLEIN NP
Nurse Practitioner (Adult Health)
4673 WASHTENAW AVE
ANN ARBOR, MI 48108
Washtenaw County (734) 547-5009
AYESHA KHAN
Case Manager/Care Coordinator
4673 WASHTENAW AVE
ANN ARBOR, MI 48108
Washtenaw County (734) 547-5009

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 Dominique Johnson's NPI number?

The NPI number for Dominique Johnson is 1891586210. It was assigned to this individual provider in the NPPES registry on May 15, 2025.

Where is Dominique Johnson located?

Dominique Johnson practices at 4673 Washtenaw Ave, Ann Arbor, MI 48108. The listed phone number is (734) 547-5009.

What is Dominique Johnson's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Dominique Johnson was last updated on May 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.