Kenneth Lorenzo Johnson, MA, PH.D., MLP
NPI 1225305931ActiveIndividual· Psychologist, Clinical· Southgate, MI
Psychologist, Clinical (MA, PH.D., MLP) in Southgate, Michigan, licensed in MI, with an NPI issued in November 2011.
Overview
| NPI | 1225305931 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MA, PH.D., MLP |
| Sole proprietor | No |
| NPI issued | Nov 23, 2011 |
| Last updated in NPPES | Nov 6, 2024 |
| Certified by provider | Nov 6, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 6361001548 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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