Derick Johnson, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

209.022844 Issued in IL

Practice address

8543 S Stony Island Ave Ste 3
Chicago, IL 60617-2249

Phone

(312) 380-9808

NPI assigned

Apr 22, 2021

Last updated

May 5, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Group practices

Heartland Alliance HealthGroup PAC ID 5890696686, shared by 2 NPIs, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: derick.johnson.1@14868.direct.athenahealth.com

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

• Resilient Mental Health & Wellness PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Chicago, IL
  • NPI 1073312351

  Single Specialty

  Medicare reassignment NPD Authorized official
• Christian Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
  • NPI 1790888238

  Single Specialty

  Medicare reassignment NPD
• Oswego Wellness, Inc

  • Community/Behavioral Health Agency
  • Oswego, IL
  • NPI 1912373069

  Single Specialty

  Medicare reassignment NPD
• TP Health TX PC

  dba TP Health TX

  • Psychiatry Physician
  • Forsyth, IL
  • NPI 1518544527

  Single Specialty

  Medicare reassignment NPD
• Christian Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Lansing, IL
  • NPI 1750619680
  NPD

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

{
    "created_epoch": "1619049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777939200000",
    "number": "1154903920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11713 S MAPLEWOOD AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606551524",
            "telephone_number": "312-380-9808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8543 S STONY ISLAND AVE STE 3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606172249",
            "telephone_number": "312-380-9808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9900 S Perry Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606281348",
            "country_code": "US",
            "telephone_number": "312-545-3187",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DERICK",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-22",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209.022844",
            "primary": true
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "MT",
            "license": "286201",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darius Johnson
• Darius Kesean Johnson, MD, MBA
• Darrian Traci Johnson, DO
• Dejah Johnson
• Denise M Johnson
• Derron Johnson Jr., LCPC
• Dominique Latrice Johnson, DO
• Donna Johnson, PHLEBOTOMIST
• Dwayne Arra Johnson Sr., LCSW
• Ebony Talise Johnson, BSN-RN

• Psychiatric/Mental Health Nurse Practitioner in Chicago, IL
• Providers in Chicago, IL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.

Verify at the official NPI Registry.