Individual provider Active NPI

Elizabeth Anne Johansson, LCPC

  • Professional Counselor
  • Bloomingdale, IL
National Provider Identifier
1164143806
Registry record updated Apr 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180018124 Issued in IL
Practice address
125 Fairfield Way Ste 380
Bloomingdale, IL 60108-3701
Phone
(815) 295-5470
NPI assigned
Sep 12, 2022
Last updated
Apr 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180018124 IL Primary

Addresses

Primary practice location

125 Fairfield Way Ste 380
Bloomingdale, IL 60108-3701

Mailing address

453 Dunham Rd
St Charles, IL 60174-1450
Phone (815) 295-5470

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180018124ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Essentially You Counseling and Wellness Services, LLC CurrentSince Dec 1, 2022 Accepting new patients

Locations

125 Fairfield Way
Ste 380
Bloomingdale, IL 60108
Phone (815) 219-3193

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775001600000",
    "number": "1164143806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "453 DUNHAM RD",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601741450",
            "telephone_number": "815-295-5470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 FAIRFIELD WAY STE 380",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601083701",
            "telephone_number": "815-295-5470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHANSSON",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-12",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180018124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomingdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2026; 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.