Marilee Johnson, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.010891 Issued in IL

Practice address

313 N Mattis Ave Ste 116
Champaign, IL 61821-7900

Phone

(242) 232-8057

Fax

(217) 888-2744

NPI assigned

Dec 9, 2013

Sex

Female

Sole proprietor

No

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

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

Medicare enrollment (NPD)

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.

• Child and Family Counseling of Champaign

  • Professional Counselor
  • Champaign, IL
  • NPI 1053814848
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1386547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1295166783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 N MATTIS AVE STE 116",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618217900",
            "telephone_number": "242-232-8057",
            "fax_number": "217-888-2744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 N MATTIS AVE STE 116",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618217900",
            "telephone_number": "242-232-8057",
            "fax_number": "217-888-2744"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44 E Main St",
            "address_2": "Ste 406",
            "address_purpose": "LOCATION",
            "city": "Champaign",
            "state": "IL",
            "postal_code": "618203636",
            "country_code": "US",
            "telephone_number": "217-398-9066",
            "fax_number": "217-398-9077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MARILEE",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-09",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.010891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Johnson, LCSW
• Heather Marie Johnson, DT
• Joy Johnson, CNP
• Larry Johnson, DDS
• Margaret J Johnson, LCSW
• Mary Elizabeth Johnson, SLP
• Sarah Johnson
• Tieona Johnson
• Traveon Johnson
• Robert B Johnston, M.D.

• Professional Counselor in Champaign, IL
• Providers in Champaign, 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 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.