Active NPI
Audra Johnson
- Clinical Social Worker
- Aurora, IL
National Provider Identifier
1124629696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.025033
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 149.025033 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chicagoland Counseling PLLC | Clinical | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2026; 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.