Individual provider Active NPI

Daniel Johnson

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1285369587
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
178.019662 Issued in IL
Practice address
1431 N Western Ave Ste 306
Chicago, IL 60622-1775
Phone
(708) 550-7201
NPI assigned
Jul 20, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

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 178.019662 IL Primary

Addresses

Primary practice location

1431 N Western Ave Ste 306
Chicago, IL 60622-1775

Mailing address

1431 N Western Ave
Chicago, IL 60622-1797
Phone (708) 550-7201

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240102002783 IL Practitioner - Mental Health Counselor 7315397494 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Glaser and Associates LLCGroup PAC ID 2365774718, 13 clinicians

Practice addresses (Care Compare)

1431 N Claremont
1St Floor Pavilion
Chicago, IL 60622
Phone (312) 491-5498

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
178.019662ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Glaser and Associates LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

1431 N Claremont Ave
Fl 1
Chicago, IL 60622
Phone (312) 491-5498

1431 N Claremont Ave
Chicago, IL 60622
Phone (312) 491-5498

1431 N Western Ave
Ste 306
Chicago, IL 60622
Phone (312) 332-2226

6428 Joliet Rd
Ste 201
Countryside, IL 60525

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1658275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1285369587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 N WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606221797",
            "telephone_number": "708-550-7201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 N WESTERN AVE STE 306",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606221775",
            "telephone_number": "708-550-7201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DANIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-20",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.019662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.