Mark J Johns, PSYD, CADC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.001399 Issued in IL

Practice address

350 S Northwest Hwy Ste 300
Park Ridge, IL 60068-4262

Phone

(773) 502-8252

NPI assigned

Jan 27, 2006

Last updated

Jul 10, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

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

Specialty

Mental Health Counselor

Education

Other, 2006

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Howard Brown Health Center

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
  • NPI 1306048632
  Medicare reassignment NPD
• Integrated Psychotherapy Center, LLC

  • Professional Counselor
  • Park Ridge, IL
  • NPI 1174944698

  Addiction (Substance Use Disorder)

  NPD Authorized official
• Howard Brown Health Center

  dba Howard Brown Health Counseling Center

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
  • NPI 1205344603
  NPD
• Howard Brown Health Center

  dba Howard Brown Health at La Casa Norte

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
  • NPI 1427523125
  NPD
• Howard Brown Health Center

  dba Howard Brown Health 55th Street

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
  • NPI 1710437991
  NPD
• Howard Brown Health Center

  • Health Educator
  • Chicago, IL
  • NPI 1811824121
  NPD (past)

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1437120680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 S NORTHWEST HWY STE 300",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684262",
            "telephone_number": "773-502-8252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 S NORTHWEST HWY STE 300",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684262",
            "telephone_number": "773-502-8252"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3948 N Sheridan Rd",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606132935",
            "country_code": "US",
            "telephone_number": "773-502-8252",
            "fax_number": "773-564-4175",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNS",
        "first_name": "MARK",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PSYD, CADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "1683",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.001399",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.001399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180.001399",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Ann Jobke, MS, LPC, NCC
• Dewey Joern, DPT
• John F. Davis, DDS LTD.
• John Klimediotis S.C.
• John M. Cottrell D.O. Chartered
• Alyssa Ann Johnson, PA
• Clayton James Johnson, DO
• Jacklyn Johnson
• Jacob Edward Johnson
• Kelly Johnson, PHARM.D.

• Professional Counselor in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.