Kathryn Mary Johns, LCSW, CADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149015033 Issued in IL

Practice address

674 W Veterans Pkwy
Suite D
Yorkville, IL 60560-4567

Phone

(630) 553-9686

NPI assigned

Jan 23, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Center for Collaborative Connections

  • Clinical Social Worker
  • Oswego, IL
  • NPI 1811774300
  NPD Authorized official
• Joi Counseling Center

  • Public Health or Welfare Agency
  • Yorkville, IL
  • NPI 1770698128
  NPD (past)

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

{
    "created_epoch": "1327276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327276800000",
    "number": "1386915361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "674 W VETERANS PKWY",
            "address_2": "SUITE D",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "605604567",
            "telephone_number": "630-553-9686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "674 W VETERANS PKWY",
            "address_2": "SUITE D",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "605604567",
            "telephone_number": "630-553-9686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNS",
        "first_name": "KATHRYN",
        "middle_name": "MARY",
        "name_prefix": "Miss",
        "credential": "LCSW, CADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-23",
        "last_updated": "2012-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "29087",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149015033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Jaquez, P.T.
• Anne Marie Roman Jardeleza, D.D.S.
• Jeff and Kristy Frank 1 Inc
• Rachel Jensen
• Kelsey Renee Jimenez, FNP - BC
• Danielle Johnson
• Debra Annette Johnson, OTR/L
• Desirae Marie Johnson
• Lance Johnson, BCBA
• Joi Counseling Center

• Clinical Social Worker in Yorkville, IL
• Providers in Yorkville, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2012; 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.