Kelsey Teresa Johnson

Primary specialty

Social WorkerTaxonomy code 104100000X

License

150.112590 Issued in IL

Practice address

3755 E Main St Ste 190
Saint Charles, IL 60174-2463

Phone

(630) 549-6245

Fax

(630) 701-9500

NPI assigned

Dec 18, 2023

Last updated

Aug 27, 2026By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1702857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1386412534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3755 E MAIN ST STE 190",
            "city": "SAINT CHARLES",
            "state": "IL",
            "postal_code": "601742463",
            "telephone_number": "630-549-6245",
            "fax_number": "630-701-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3755 E MAIN ST STE 190",
            "city": "SAINT CHARLES",
            "state": "IL",
            "postal_code": "601742463",
            "telephone_number": "630-549-6245",
            "fax_number": "630-701-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KELSEY",
        "middle_name": "TERESA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-18",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.112590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Johnson
• Elliot Paul Johnson, PA-C
• Evan Dean Johnson, M.D.
• Gregory Johnson, M.S., CCC-SLP
• Katie Lynne Johnson, DC, LAC
• Lawrence L Johnson, M.D.
• Madison Johnson, RBT
• Mary Johnson
• Paula Johnston
• Janette Sue Jones, APRN

• Social Worker in St Charles, IL
• Providers in St Charles, IL by specialty
• Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; 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.