Individual provider Active NPI

Ryan Allen Johnson, LPC, NCC

  • Mental Health Counselor
  • Crystal Lake, IL
National Provider Identifier
1346069663
Registry record updated Jan 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
178.022521 Issued in IL
Practice address
741 S McHenry Ave Ste C
Crystal Lake, IL 60014-7445
Phone
(224) 650-6788
NPI assigned
Oct 3, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2026

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 178.022521 IL Primary

Addresses

Primary practice location

741 S McHenry Ave Ste C
Crystal Lake, IL 60014-7445

Mailing address

1083 Colony Dr
Crystal Lake, IL 60014-8392
Phone (847) 363-5296

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
I20260403000253 IL Practitioner - Mental Health Counselor 4385129782 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1083 Colony Dr
Crystal Lake, IL 60014-8392

741 S McHenry Ave
Suite C
Crystal Lake, IL 60014-7445

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
178.022521ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Transformative Community Health Inc Mental Health CurrentSince Oct 6, 2024 Accepting new patients
Transformative Growth LLC Mental Health CurrentSince Jul 13, 2025 Accepting new patients

Locations

24W500 Maple Ave
Ste 216A
Naperville, IL 60540
Phone (630) 423-6010

Organizations & group practices 3

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": "1727913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768780800000",
    "number": "1346069663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1083 COLONY DR",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600148392",
            "telephone_number": "847-363-5296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 S MCHENRY AVE STE C",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600147445",
            "telephone_number": "224-650-6788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "RYAN",
        "middle_name": "ALLEN",
        "credential": "LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-03",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.022521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal Lake, IL

Sources for this page

Verify at the official NPI Registry.