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

Raphael David Johnson, MA, LLC

Individual provider Mental Health Counselor · NPI 1780400259

Raphael David Johnson, MA, LLC is a Mental Health Counselor in Portage, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2024
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

6070 Newport Rd
Portage, MI 49002-9234
Phone: (269) 409-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 6451024063 (MI)

Record details

NPI number1780400259
Entity typeIndividual (Type 1)
GenderMale
Credentials MA , LLC
Sole proprietorYes
NPI enumeratedNovember 29, 2024
Last updated in NPPESNovember 29, 2024
Certification dateNovember 29, 2024
Mailing address6070 Newport Rd, Portage, MI 49002-9234

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