TRACIE JOHNSON (NPI# 1467927632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467927632 |
| Entity Type | Individual |
| Full Name | TRACIE JOHNSON |
| Credential | LLPC |
| Practice Address |
21885 Dunham Rd Clinton Township MI 48036-1030 |
| Mailing Address |
37698 Charter Oaks Blvd Clinton Township MI 48036-2424 |
| Practice Telephone | 5864695950 |
| Enumeration Date | 2018-10-03 |
| Last Update Date | 2018-10-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
6401016836 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013573328 | Tracie Johnson | Nurse Practitioner | 170 Grant Rd, Westminster, SC 29693-5909 | 2019-05-13 |
| 1992960306 | Tracie Lynn Johnson | Speech-Language Pathologist | 6304 Koosa Dr, Marion, MS 39342-9458 | 2008-07-24 |
| 1447332275 | Tracie Baker Johnson | Licensed Practical Nurse | 50 Hwy 56 North, Swainsboro, GA 30401 | 2006-10-20 |
| 1215357074 | Tracie Johnson | Registered Nurse | 905 W Greenwood St, Abbeville, SC 29620-5678 | 2014-04-21 |
| 1417398462 | Tracie Lynn Johnson | Speech-Language Pathologist | 5533 N Galena Rd, Peoria Heights, IL 61616-4447 | 2013-07-07 |
| 1992095996 | Tracie Lanay Johnson | Registered Nurse | 901 Ne Independence Ave, Lees Summit, MO 64086-5544 | 2011-04-11 |
| 1124262670 | Tracie Y Johnson | Social Worker | 601 South Edwin C Moses Blvd, Dayton, OH 45417-3424 | 2009-04-28 |
| 1639368756 | Tracie M Johnson | Physical Therapist | 2415 Professional Dr, Rocky Mount, NC 27804-2254 | 2007-10-15 |
| Street Address |
21885 DUNHAM RD |
| City | CLINTON TOWNSHIP |
| State | MI |
| Zip Code | 48036-1030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831237288 | Michael Larry Byck | Psychologist | 21885 Dunham Rd, Clinton Township, MI 48036-1030 | 2007-02-01 |
| 1710539655 | Samantha Ann Shankin | Social Worker | 21885 Dunham Rd, Clinton Township, MI 48036-1030 | 2019-07-11 |
| 1104393628 | Samantha L Winters | Social Worker | 21885 Dunham Rd, Clinton Township, MI 48036-1030 | 2018-11-02 |
| 1548748072 | Cherrell Zeimis | Social Worker | 21885 Dunham Rd, Clinton Township, MI 48036-1030 | 2018-08-06 |
| 1306354907 | Jessica L Murfin | Social Worker | 21885 Dunham Rd, Clinton Township, MI 48036-1030 | 2018-01-17 |
| 1770011207 | Ashley Nicole Douglas | Social Worker | 21885 Dunham Rd, Clinton Township, MI 48036-1030 | 2017-05-29 |
| 1366806531 | Patricia Ballard | Counselor | 21885 Dunham Rd, Clinton Township, MI 48036-1030 | 2016-04-13 |
| 1780048504 | Darnicia Simley | Counselor | 21885 Dunham Rd, Clinton Township, MI 48036-1030 | 2016-04-07 |
| 1265817340 | Mary Bowers | Point of Service | 21885 Dunham Rd, Clinton Township, MI 48036-1030 | 2015-07-30 |
| 1265817555 | Roxanne Mitchell | Point of Service | 21885 Dunham Rd, Clinton Township, MI 48036-1030 | 2015-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043728918 | Joseph John Memminger IIi | Pathology | 23885 Denton St Ste B, Clinton Township, MI 48036 | 2018-01-13 |
| 1124563267 | Melinda Fiends | Social Worker | 42950 Stepnitz, Clinton Township, MI 48036 | 2016-12-28 |
| 1689119729 | The Salvation Army Harbor Light Macomb | Substance Abuse Rehabilitation Facility | 42950 Stepnitz Drive, Clinton Township, MI 48036 | 2016-12-28 |
| 1639573033 | Mycare Health Center | Clinic/Center | 43740 Groesbeck, Clinton Township, MI 48036 | 2014-10-14 |
| 1427368992 | Prestigious Transportation | Non-emergency Medical Transport (VAN) | 22931 N.nunneley Apt. 203, Clinton Township, MI 48036 | 2010-10-18 |
| 1649413436 | Robert B Hengehold | Pharmacist | 37165 Groesbeck Hwy., Clinton Twp., MI 48036 | 2009-04-09 |
| 1548408461 | Rodolfo Sia Yapchai | Internal Medicine | 37900 Saddle Lane, Clinton Twp, MI 48036 | 2009-01-30 |
| 1811135775 | Anthony Frank Balcerzak | Rehabilitation Counselor | 38516 N Gratiot Avenue, Clinton Twp, MI 48036 | 2009-01-30 |
| 1508034661 | Laurie J Church | Counselor | 22800 Hall Rd Ste 240, Clinton Township, MI 48036 | 2008-02-12 |
| 1912128182 | Phyllis Ann Billings-mcneil | Social Worker | 38251 Groesbeck Highway, Clinton Twp, MI 48036 | 2007-05-02 |
| Find all providers in zip 48036 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447864129 | Raphael Antonio Tramble | Counselor | River Oaks Suites Plaza 42815 Garfield Road, Suite 201, Clinton Township, MI 48038 | 2020-09-01 |
| 1285071027 | Amy Rene Johnson | Counselor | 38267 Fernhill Ct, Clinton Township, MI 48038-3422 | 2013-06-03 |
| 1013219542 | Deborah Ann Stanley | Counselor | 36800 S Gratiot Ave, Suite Ll2, Clinton Township, MI 48035-1773 | 2010-12-04 |
| 1962720805 | Angela Marie Kosmas | Counselor | 42815 Garfield Rd Ste 203, Clinton Township, MI 48038-1143 | 2010-05-16 |
| 1508034661 | Laurie J Church | Counselor | 22800 Hall Rd Ste 240, Clinton Township, MI 48036 | 2008-02-12 |
| 1477736379 | Liliana Pacitti | Counselor | 17097 17 Mile Rd, Ste 209, Clinton Township, MI 48038-2919 | 2007-12-13 |
| 1225171218 | Henry Ford Macomb Hospital Corporation | Counselor | 43411 Garfield Rd, Clinton Township, MI 48038-1152 | 2007-02-15 |
| 1386723542 | Katharine Kiefer Alfs | Counselor | 43422 Garfield Rd. Suite A, Clinton Township, MI 48038 | 2006-11-06 |
| 1497868590 | Carol S Agnew | Counselor | 42627 Garfield Rd Ste 217, Clinton Township, MI 48038-5032 | 2006-08-16 |
| 1235112616 | Catholic Services of Macomb | Counselor | 15945 Canal Rd, Clinton Township, MI 48038-1610 | 2005-11-21 |
| Find all providers in CLINTON TOWNSHIP | ||||
| City | CLINTON TOWNSHIP |
| Zip Code | 48036 |
Please comment or provide details below to improve the information on TRACIE JOHNSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.