Mr Robert Gerard Johnson Sr, LPC, SPADA, CAAC in Grand Rapids, MI

Mr Robert Gerard Johnson Sr, LPC, SPADA, CAAC is a medicare enrolled "Counselor - Professional" provider in Grand Rapids, Michigan. His current practice location is 300 68th St Se, Grand Rapids, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 281-6363.

Mr Robert Gerard Johnson Sr is licensed to practice in Michigan (license number 6401008579) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1255465258.

Contact Information

	Mr Robert Gerard Johnson Sr, LPC, SPADA, CAAC
	300 68th St Se, Grand Rapids, MI 49548-6927
	(616) 281-6363
	(616) 455-5460

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Robert Gerard Johnson Sr
Gender	Male
Speciality	Counselor - Professional
Location	300 68th St Se, Grand Rapids, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255465258
Provider Enumeration Date: 03/14/2007
Last Update Date: 08/30/2010

Medicare PECOS Information:

PECOS PAC ID: 3173974599
Enrollment ID: I20240110003645

Medical Identifiers

Medical identifiers for Mr Robert Gerard Johnson Sr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255465258	NPI	-	NPPES
NCFR	Other		CERTIFIED FAMILY LIFE EDUCATOR CFLE- NATIONAL COUNSEL ON FAMILY RELATIONS
C-012118 CAAC	Other	MI	CERTIFIED ADVANCED ADDICTION COUNSELOR
6401008579	Other	MI	PROFESSIONAL COUNSELOR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	C-01218 (Michigan)	Secondary
101YP2500X	Counselor - Professional	6401008579 (Michigan)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Robert Gerard Johnson Sr allows following entities to bill medicare on his behalf.

Entity Name	Downriver Mental Health Clinic Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295866135 PECOS PAC ID: 7911995139 Enrollment ID: O20040505000533

Entity Name	Perspectives Of Troy Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033227269 PECOS PAC ID: 7113993700 Enrollment ID: O20041027000491

Entity Name	Optum Behavioral Care Of Colorado, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700648953 PECOS PAC ID: 0941648463 Enrollment ID: O20240418001763

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Robert Gerard Johnson Sr is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Robert Gerard Johnson Sr, LPC, SPADA, CAAC 300 68th St Se, Grand Rapids, MI 49548-6927 Ph: (616) 281-6363	Mr Robert Gerard Johnson Sr, LPC, SPADA, CAAC 300 68th St Se, Grand Rapids, MI 49548-6927 Ph: (616) 281-6363

Reviews and Comments

Counselor in Grand Rapids, MI

Mrs. Dana Kay Anderson, MA, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 901 Eastern Ave Ne, Grand Rapids, MI 49503 Phone: 616-254-7741 Fax: 616-254-7750
Marilyn Dale, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5005 Plainfield Ave Ne Ste 100, Grand Rapids, MI 49525 Phone: 616-279-3869 Fax: 616-608-4657
Brittani Shaw, Counselor Medicare: Not Enrolled in Medicare Practice Location: 901 Eastern Ave Ne, Grand Rapids, MI 49503 Phone: 616-818-4803 Fax: 616-710-5176
Tao Chance Brown-edwards, Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 68th St Se, Grand Rapids, MI 49548 Phone: 616-455-5000
Lauren Marie Snoeyink, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1295 68th St Se, Grand Rapids, MI 49508 Phone: 616-970-3724
Amanda Joy Rewa, MA, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 221 Trowbridge St Ne Apt 208, Grand Rapids, MI 49503 Phone: 231-755-8284
Mrs. Marian Evelyn Lilly, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 40 Jefferson Ave Se, Grand Rapids, MI 49503 Phone: 616-356-6247 Fax: 616-732-6392

Mr Robert Gerard Johnson Sr, LPC, SPADA, CAAC - Medicare Counselor in Grand Rapids, MI