Joanna Lewis, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180015632 Issued in IL

Practice address

1204 E Oak St Ste 2-2
Mahomet, IL 61853-2795

Phone

(217) 530-5608

Fax

(309) 981-8714

NPI assigned

Apr 16, 2024

Last updated

Apr 16, 2024By the provider in NPPES

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

Enrolled in IL

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

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.

• Grit and Grace Therapy PLLC

  • Clinical Social Worker
  • Mahomet, IL
  • NPI 1013666015
  Medicare reassignment NPD

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

{
    "created_epoch": "1713225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1710731641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 E OAK ST STE 2-2",
            "city": "MAHOMET",
            "state": "IL",
            "postal_code": "618532795",
            "telephone_number": "217-530-5608",
            "fax_number": "309-981-8714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 E OAK ST STE 2-2",
            "city": "MAHOMET",
            "state": "IL",
            "postal_code": "618532795",
            "telephone_number": "217-530-5608",
            "fax_number": "309-981-8714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "JOANNA",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-16",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180015632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie Koress, RDN, LDN, IBCLC
• Michael Kuhlenschmidt, M.D.
• Kurtz Counseling, LLC
• Paul Larsen, DDS
• Laughton Chiropractic Clinic, LLC
• Helena Diane Longfellow, APRN, FNP-C
• Karissa Marie Louthan, M.S., CCC-SLP
• Katherine Loutrel, M.D.
• Mahomet Clinic LLC
• Linah Kwamboka Mairura, M.D.

• Mental Health Counselor in Mahomet, IL
• Providers in Mahomet, 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 Apr 16, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.