Individual provider Active NPI

Audra Johnson

  • Clinical Social Worker
  • Aurora, IL
National Provider Identifier
1124629696
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.025033 Issued in IL
Practice address
1315 N Highland Ave Ste 202
Aurora, IL 60506-1460
Phone
(630) 394-1379
NPI assigned
Nov 2, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.025033 IL Primary
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

1315 N Highland Ave Ste 202
Aurora, IL 60506-1460

Mailing address

PO Box 107
Cortland, IL 60112-0107

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250721003178 IL Practitioner - Clinical Social Worker 9234645813 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chicagoland Counseling PLLCGroup PAC ID 5193171346, 7 clinicians

Practice addresses (Care Compare)

1315 N Highland Ave
Suite 202
Aurora, IL 60506-1460
Phone (630) 394-1379

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.025033ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Chicagoland Counseling PLLC Clinical CurrentSince Jun 2, 2025 Accepting new patients

Locations

1315 N Highland Ave
Ste 202
Aurora, IL 60506
Phone (630) 394-1379

2570 Foxfield Rd
Ste 200
St Charles, IL 60174
Phone (331) 239-2705

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1604275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777593600000",
    "number": "1124629696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 107",
            "city": "CORTLAND",
            "state": "IL",
            "postal_code": "601120107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 N HIGHLAND AVE STE 202",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605061460",
            "telephone_number": "630-394-1379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "AUDRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-02",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.025033",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

Verify at the official NPI Registry.