Sidney Johnson, LSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

150.110279 Issued in IL

Practice address

18242 Ashland Ave
Homewood, IL 60430-2305

Phone

(623) 759-1716

NPI assigned

Sep 15, 2023

Sex

Male

Sole proprietor

Yes

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

State licenses

Practice roles

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.

• Returning 2 Wellness, LLC

  • Clinical Social Worker
  • Homewood, IL
  • NPI 1306771829

  Mental Health

  NPD Authorized official
• Phalanx Family Services

  • Adolescent and Children Mental Health Clinic/Center
  • Chicago, IL
  • NPI 1841014271
  NPD

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

{
    "created_epoch": "1694736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694736000000",
    "number": "1417735127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18242 ASHLAND AVE",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604302305",
            "telephone_number": "623-759-1716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18242 ASHLAND AVE",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604302305",
            "telephone_number": "623-759-1716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SIDNEY",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-15",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "150.110279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Albert Joaquin Jr., DDS
• Alicia Johnson
• Barbara Johnson, D.T.
• Julie Jo Johnson, COTA
• Melvena Johnson
• Treymaine Johnson
• Silifat Iyabo Jones-Ibrahim, PMHNP
• Akira Jones
• Carly Nicole Jones, ED.D
• Danielle Jones

• Mental Health Counselor in Homewood, IL
• Providers in Homewood, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; 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.