Active NPI
Sarita Johnson, LCPC
- Mental Health Counselor
- Deerfield, IL
National Provider Identifier
1174793764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 180.006758
- Practice address
- 747 Lake Cook Rd
Suite 207E
Deerfield, IL 60015-5617 - Phone
- (847) 205-9760
- Fax
- (847) 205-9780
- NPI assigned
- Mar 10, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 180.006758 | IL | Primary |
Addresses
Primary practice location
747 Lake Cook Rd
Suite 207E
Deerfield, IL 60015-5617
Mailing address
747 Lake Cook Rd
Suite 207E
Deerfield, IL 60015-5617
Phone (847) 205-9760
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180.006758 | IL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421020800000",
"number": "1174793764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "747 LAKE COOK RD",
"address_2": "SUITE 207E",
"city": "DEERFIELD",
"state": "IL",
"postal_code": "600155617",
"telephone_number": "847-205-9760",
"fax_number": "847-205-9780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "747 LAKE COOK RD",
"address_2": "SUITE 207E",
"city": "DEERFIELD",
"state": "IL",
"postal_code": "600155617",
"telephone_number": "847-205-9760",
"fax_number": "847-205-9780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "SARITA",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-10",
"last_updated": "2015-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "180.006758",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Deerfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.