1083541114 NPI number — MS. THOMAS NEAL JOHNSTONE LLMSW

Table of content: MS. THOMAS NEAL JOHNSTONE LLMSW (NPI 1083541114)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1083541114 NPI number — MS. THOMAS NEAL JOHNSTONE LLMSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
JOHNSTONE
Provider First Name:
THOMAS
Provider Middle Name:
NEAL
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
LLMSW
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
JOHNSTONE
Provider Other First Name:
THOMAS
Provider Other Middle Name:
NEAL
Provider Other Name Prefix Text:
MR.
Provider Other Name Suffix Text:
III
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1083541114
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/05/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7321 WHITE RD LOT 135
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MUSKEGON
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
49442-8428
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
231-672-5558
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
120 W APPLE AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MUSKEGON
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
49440-1302
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
231-237-8898
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/05/2026

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YA0400X , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 101YM0800X , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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