Agatha Mankiewicz Johnson, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

178017815 Issued in IL

Practice address

18-6 E Dundee Rd Ste 140
Barrington, IL 60010-7404

Phone

(847) 748-1100

NPI assigned

Mar 30, 2022

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

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.

• J B Day, Inc.

  • Clinical Social Worker
  • Barrington, IL
  • NPI 1811492481
  NPD

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

{
    "created_epoch": "1648598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1649910472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18-6 E DUNDEE RD STE 140",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600107404",
            "telephone_number": "847-748-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18-6 E DUNDEE RD STE 140",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600107404",
            "telephone_number": "847-748-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "AGATHA",
        "middle_name": "MANKIEWICZ",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-30",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "178017815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Jerominski, LSW
• JL Healthcare, Inc
• Jo Homecare Services
• Joanne G. Parks, MD, SC
• Joel D Carnazzo, PSYD
• Margaret Johnson, P.T.
• Marvin A. Johnson, LCSW
• Pamela J Johnson, LMFT
• Taylor Johnson, APRN
• Michelle Erika Joos

• Counselor in Barrington, IL
• Providers in Barrington, IL by specialty
• Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; 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.