Kaitlan Johnson

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180015723 Issued in IL

Practice address

24W500 Maple Ave Ste 216a
Naperville, IL 60540-6003

Phone

(630) 423-6010

Fax

(844) 270-7898

NPI assigned

Feb 15, 2024

Sex

Female

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

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.

• Transformative Community Health Inc

  • Mental Health Counselor
  • Naperville, IL
  • NPI 1164209854
  NPD
• Transformative Growth LLC

  • Mental Health Counselor
  • Orange Park, FL
  • NPI 1407431117
  NPD

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

{
    "created_epoch": "1707955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1447015706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24W500 MAPLE AVE STE 216A",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406003",
            "telephone_number": "090-458-2340",
            "fax_number": "844-270-7898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24W500 MAPLE AVE STE 216A",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406003",
            "telephone_number": "630-423-6010",
            "fax_number": "844-270-7898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KAITLAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-15",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180015723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis Craig Johnson, D.D.S.
• Elise Johnson, BCBA
• Gabrielle Loretta Johnson
• Ingrid Johnson
• Jenna Lee Johnson
• Karin M Johnson, PSYD
• Kaytlyn Marie Johnson
• Kristie M. Johnson, LCPC CADC CADP
• Laura McMurray Johnson, M.A. CCC
• Mekell Alexzandra Johnson, MOT

• Professional Counselor in Naperville, IL
• Providers in Naperville, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; 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.