Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Loleta Johnson

Individual provider Professional Counselor · NPI 1639743230

Loleta Johnson is a Mental Health Counselor in Southfield, Michigan. Qualified in 2015, 11 years ago. Practices as a sole proprietor.

Years since qualifying
11
In the registry since
2021
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Practice location Address checks out

29501 Greenfield Rd Ste 132
Southfield, MI 48076-2250
Phone: (248) 207-9242
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X

Record details

NPI number1639743230
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 18, 2021
Last updated in NPPESMay 18, 2021
Certification dateMay 18, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Not indicated

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