Karli Johnson, LCPC, ATR

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

200 W Monroe St Ste C7
Bloomington, IL 61701

Phone

(309) 287-0610

NPI assigned

Jan 9, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Karli Diekhoff Former name

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Creative Healing Art Therapy, PLLC

  • Professional Counselor
  • Bloomington, IL
  • NPI 1295221984
  Medicare reassignment NPD Authorized official
• Creative Healing Expressive Arts Center

  • Adult Mental Health Clinic/Center
  • Bloomington, IL
  • NPI 1275305278
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1515456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1023525292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W. MONROE ST. BOX 23",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617013997",
            "telephone_number": "309-287-0610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W MONROE ST STE C7",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "61701",
            "telephone_number": "309-287-0610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Union St",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IL",
            "postal_code": "617011674",
            "country_code": "US",
            "telephone_number": "309-287-0610",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2310 E Oakland",
            "address_2": "Suite 11B",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IL",
            "postal_code": "61701",
            "country_code": "US",
            "telephone_number": "309-261-6129",
            "fax_number": "309-663-0209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KARLI",
        "credential": "LCPC, ATR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-09",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14137156",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARLI",
            "last_name": "DIEKHOFF",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hallie M Johnson, BCBA
• Jacquelyn L Johnson, MS, CGC
• Jaden R Johnson
• Jennifer Lynn Johnson, MSW, LCSW
• Jenny Johnson
• Katie Marie Johnson
• Kelsey Johnson
• Lera Joyce Johnson, BCBA-D, BAMC
• Makaylee Johnson
• Michele Jean Johnson, MA, CCC-SLP

• Professional Counselor in Bloomington, IL
• Providers in Bloomington, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.