Active NPI
Aaron Johnson
- Mental Health Counselor
- Chicago, IL
National Provider Identifier
1376275800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 180.011799
- Practice address
- 5408 N Long Ave
Chicago, IL 60630-1321 - Phone
- (810) 836-1061
- NPI assigned
- Jun 24, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 180.011799 | IL | Primary |
Addresses
Primary practice location
5408 N Long Ave
Chicago, IL 60630-1321
Mailing address
5837 W Peterson Ave Apt 1
Chicago, IL 60646-3939
Phone (810) 836-1061
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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.
-
- Professional Counselor
- Glen Ellyn, IL
- NPI 1952767733
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656720000000",
"number": "1376275800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5837 W PETERSON AVE APT 1",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606463939",
"telephone_number": "810-836-1061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5408 N LONG AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606301321",
"telephone_number": "810-836-1061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "AARON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-24",
"last_updated": "2022-07-02",
"certification_date": "2022-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "180.011799",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2022; 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.