Individual provider Active NPI

Allison G. Johnsen, M.A., LCPC

  • Mental Health Counselor
  • Saint Charles, IL
National Provider Identifier
1245214154
Registry record updated May 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180-005892 Issued in IL
Practice address
2445 Dean St Unit a
Saint Charles, IL 60175-4828
Phone
(630) 222-6177
NPI assigned
Dec 5, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 180-005892 IL Primary

Addresses

Primary practice location

2445 Dean St Unit a
Saint Charles, IL 60175-4828

Mailing address

41W161 Whitney Rd
Saint Charles, IL 60175-8571
Phone (630) 222-6177

Other practice location 1

41W161 Whitney Rd
Saint Charles, IL 60175-8571
Phone (630) 222-6177

Other practice location 2

106 W Pierce St
Elburn, IL 60119-8201
Phone (630) 365-0899 ext. 104

Other names 1

  • Allison G. Parks Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address allisonj@cleocoaching.com Direct

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
180-005892ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Rural Psychology Past Accepting new patients
Foroutan & Associates SC Past Accepting new patients

Organizations & group practices 2

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": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558828800000",
    "number": "1245214154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41W161 WHITNEY RD",
            "city": "SAINT CHARLES",
            "state": "IL",
            "postal_code": "601758571",
            "telephone_number": "630-222-6177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2445 DEAN ST UNIT A",
            "city": "SAINT CHARLES",
            "state": "IL",
            "postal_code": "601754828",
            "telephone_number": "630-222-6177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41W161 Whitney Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Charles",
            "state": "IL",
            "postal_code": "601758571",
            "country_code": "US",
            "telephone_number": "630-222-6177",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "106 W Pierce St",
            "address_purpose": "LOCATION",
            "city": "Elburn",
            "state": "IL",
            "postal_code": "601198201",
            "country_code": "US",
            "telephone_number": "630-365-0899 x104",
            "fax_number": "630-365-9150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSEN",
        "first_name": "ALLISON",
        "middle_name": "G.",
        "name_prefix": "Mrs.",
        "credential": "M.A., LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-05",
        "last_updated": "2019-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180-005892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "allisonj@cleocoaching.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Saint Charles",
            "address_1": "41W161 Whitney Rd",
            "city": "Saint Charles",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601758571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ALLISON",
            "last_name": "PARKS",
            "middle_name": "G.",
            "credential": "M.A., LCPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Charles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2019; 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.