Michael T Johnson, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

178.018354 Issued in IL

Practice address

100 N Waukegan Rd Ste 204
Lake Bluff, IL 60044-1660

Phone

(847) 821-9346

NPI assigned

Oct 12, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• White Stone Partners LLC

  • Professional Counselor
  • Lake Bluff, IL
  • NPI 1801543616
  NPD
• White Stone Resources LTD.

  • Professional Counselor
  • Palatine, IL
  • NPI 1124159124
  NPD (past)

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

{
    "created_epoch": "1665532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1255057113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 E ARDYCE LN",
            "city": "MT PROSPECT",
            "state": "IL",
            "postal_code": "600562666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N WAUKEGAN RD STE 204",
            "city": "LAKE BLUFF",
            "state": "IL",
            "postal_code": "600441660",
            "telephone_number": "847-821-9346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MICHAEL",
        "middle_name": "T",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-12",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.018354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shari G Jacobson, LCSW
• Christian Jahng, LPC
• Monica Janeczek, MD
• Jasmine Cornelia Jaurigue
• Joriana Rae Johnson
• Sierra Jones, OTR/L
• Joseph J. Baric, D.C., PLLC
• Loren Dreher Jouett, CPO
• Isabelle Grace Jurasz
• Jerome O Kaltman, MD

• Professional Counselor in Lake Bluff, IL
• Providers in Lake Bluff, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; 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.