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

Mr. Samuel Lee Johnson III, CAC, CCGC

Individual provider Community/Behavioral Health Agency · NPI 1184095556

Mr. Samuel Lee Johnson III, CAC, CCGC is a Community/Behavioral Health Agency in Harvey, Louisiana. Practices as a sole proprietor and works from 3 locations. Licensed in Louisiana.

Licensed in
LA
In the registry since
2015
Specialties on file
14
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Practice location Address checks out

2439 Manhattan Blvd Ste 102-4
Harvey, LA 70058-5473
Phone: (504) 261-4976
Fax: (504) 766-8457
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2637 Edenborn Ave Ste 302, Metairie, LA 70002 — (504) 455-2446
  • 4120 Eve Street, New Orleans, LA 70121 — (504) 444-9883

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 1603 (LA)
Community/Behavioral Health Agency Taxonomy 251S00000X
Non-emergency Medical Transport (VAN) Taxonomy 343900000X · Licence 010494439 (LA)
Military Health Care Provider Taxonomy 171000000X
Case Manager/Care Coordinator Taxonomy 171M00000X
Peer Specialist Taxonomy 175T00000X
Rehabilitation Counselor Taxonomy 225C00000X
Counselor Taxonomy 101Y00000X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Mental Health Counselor Taxonomy 101YM0800X
Pastoral Counselor Taxonomy 101YP1600X
Addiction (Substance Use Disorder) Psychologist Taxonomy 103TA0400X
Counseling Psychologist Taxonomy 103TC1900X
Professional Counselor Taxonomy 101YP2500X · Licence 5006 (LA)

Record details

NPI number1184095556
Entity typeIndividual (Type 1)
GenderMale
Credentials CAC , CCGC
Sole proprietorYes
NPI enumeratedOctober 12, 2015
Last updated in NPPESJanuary 12, 2021
Certification dateJanuary 12, 2021

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