Individual provider Active NPI

Katherine K Johnson, LCPC

  • Mental Health Counselor
  • Schaumburg, IL
National Provider Identifier
1326332818
Registry record updated May 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180.008746 Issued in IL
Practice address
1305 Wiley Rd
Suite 125
Schaumburg, IL 60173-4354
Phone
(847) 240-5080
Fax
(847) 240-1977
NPI assigned
Jun 2, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 178.006491 IL
Mental Health Counselor 101YM0800X 180.008746 IL Primary

Addresses

Primary practice location

1305 Wiley Rd
Suite 125
Schaumburg, IL 60173-4354

Mailing address

1305 Wiley Rd
Suite 125
Schaumburg, IL 60173-4354
Phone (847) 240-5080

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

LicenseStateTypeSpecialty
180.008746ILMDMental Health Counselor
178.006491ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Core Psychotherapy Center PastSince Mar 1, 2014 Accepting new patients

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": "1306972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432857600000",
    "number": "1326332818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 WILEY RD",
            "address_2": "SUITE 125",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734354",
            "telephone_number": "847-240-5080",
            "fax_number": "847-240-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 WILEY RD",
            "address_2": "SUITE 125",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734354",
            "telephone_number": "847-240-5080",
            "fax_number": "847-240-1977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KATHERINE",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-02",
        "last_updated": "2015-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.006491",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.008746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.

Verify at the official NPI Registry.