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ROGER K JOHNSON LPC
NPI 1972283919
Counselor - Professional in Detroit, MI

Active since July 24, 2023PECOS Enrolled
17384 BEAVERLAND ST, DETROIT, MI 48219(313) 578-1148 Get Directions Write a Review

NPPES record last updated: December 10, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 10, 2024, Jul 24, 2023 (2 updates tracked since 2023).

About Roger K Johnson Lpc NPPES

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

ROGER K JOHNSON LPC (NPI 1972283919) is an individual professional provider in Detroit, Michigan, licensed in Michigan (6401020284) and active in the NPI registry since July 2023. He is enrolled in Medicare PECOS and is a graduate of Wayne State University School Of Medicine (2007).

NPPES Registry Identity

NPI1972283919
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameROGER K JOHNSONCredential: LPC
Location Address17384 BEAVERLAND STDetroit, MI 48219-3154
Mailing Address17384 Beaverland StDetroit, MI 48219-3154 · (313) 578-1148
Phone(313) 578-1148
Sole ProprietorYes
Medical School CMSWayne State University School Of MedicineGraduated 2007
Enumeration DateJuly 24, 2023
Last NPPES UpdateDecember 10, 20242 updates tracked since enumeration
NPPES CertifiedDecember 10, 2024
✔ NPI 1972283919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MI · 6401020284
17384 BEAVERLAND ST, Detroit, MI 48219
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID7315444239
PECOS Enrollment IDI20251008000163
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.

Other Providers at the Same Location NPPES

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

THREE MEN AND A COUCH COUNSELING AND THERAPY
Counselor (Professional)
17384 BEAVERLAND ST
DETROIT, MI 48219
Wayne County (313) 578-1148

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 Roger Johnson's NPI number?

The NPI number for Roger Johnson is 1972283919. It was assigned to this individual provider in the NPPES registry on July 24, 2023.

Where is Roger Johnson located?

Roger Johnson practices at 17384 Beaverland St, Detroit, MI 48219. The listed phone number is (313) 578-1148.

What is Roger Johnson's specialty?

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

Is Roger Johnson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Roger Johnson was last updated on December 10, 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.