Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1578041919 Individual Practitioner Male Practitioner

Michael Blaine Johnson , LPC

Counselor - Professional • Beloit, WI

Professional Overview & Biography Verified Profile Summary

Michael Johnson, LPC is a registered healthcare professional specializing in Counselor - Professional in Beloit, WI. Practice services are available at 416 COLLEGE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

416 College St

Beloit, WI 535116310

Telephone 6083651244
Fax 6083654097
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Beloit, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.6 Yrs
State Avg: 12.8 Yrs
Regional Practice Density
43 Specialists

Practicing in Beloit, WI (4511 Statewide)

Telehealth Adoption Rate
7.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License WI 3648-125

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
42117900 (WI)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Kelsey Hood , MSW

Counselor - Mental Health

NPI 1609235720

Master of Social Work

Jenifer Jelinek , LPC

Counselor - Professional

NPI 1619346590

Licensed Professional Counselor

Julie Reinhart , APSW

Social Worker - Clinical

NPI 1790565141
Judith Adams , MSW

Social Worker - Clinical

NPI 1841345378

Master of Social Work

Amanda Isunza , MSW

Social Worker - Clinical

NPI 1881085959

Master of Social Work

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 28, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location July 28, 2018

Registered at 416 COLLEGE ST, BELOIT, WI 535116310 (Tel: 6083651244)

📍
Updated Business Mailing Address July 28, 2018

Registered at 1822 CLEVELAND ST, BELOIT, WI 535112848 (Tel: 6084369182)

👤
Provider Name / Credentials Updated July 28, 2018

Recorded as MICHAEL JOHNSON, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 28, 2018

Counselor (License #3648-125 in WI)

🟢
Initial NPI Registration & Enumeration July 28, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1578041919
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 28, 2018
Last Update: July 28, 2018
Sole Proprietor: Yes

Mailing Address

1822 Cleveland St

Beloit, WI 535112848

Phone: 6084369182

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.