Clarque Johnson

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

178.015045 Issued in IL

Practice address

1415 Bond St Ste 127
Naperville, IL 60563-2769

Phone

(630) 355-9002

NPI assigned

Sep 8, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• C. P. Johnson, LCPC & Associates

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Naperville, IL
  • NPI 1154102937
  NPD Authorized official
• Dr Susan B Myket PC

  • Clinical Psychologist
  • Naperville, IL
  • NPI 1457570251
  NPD

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

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1093329922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2280 OAKRIDGE DR APT 4",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605024577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 BOND ST STE 127",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605632769",
            "telephone_number": "630-355-9002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CLARQUE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-08",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.015045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah G Johnson Heim, PSY D
• Paula P. Johnson Strasky, PT, MOMT
• Amy Sue Johnson
• Andrew William Johnson, M.D.
• Barbara Johnson, PT
• Courtney Johnson, FNP
• Dennis Craig Johnson, D.D.S.
• Elise Johnson, BCBA
• Gabrielle Loretta Johnson
• Ingrid Johnson

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.