Shakita Johnson, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

209025763 Issued in IL

Practice address

1520 Kensington Rd Ste 212
Oak Brook, IL 60523-2197

Phone

(855) 687-7861

NPI assigned

Jun 28, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL, NV, NM3 enrollments

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 3

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

71.16 of 100Reported as group

Quality

26.67

Improvement activities

40

Cost

68.31

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Finding Inner Peace LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Palos Park, IL
  • NPI 1477384006

  NM, NV

  Medicare reassignment Authorized official
• Vital Link Physician Group PLLC

  • Family Medicine Physician
  • Niles, IL
  • NPI 1679311336

  Multi-Specialty

  Medicare reassignment NPD
• Molina Healthcare of Illinois, Inc.

  • Health Maintenance Organization
  • Downers Grove, IL
  • NPI 1912538448
  NPD
• Calling Care Services Inc.

  • Multi-Specialty Clinic/Center
  • Chicago, IL
  • NPI 1861086696
  NPD (past)
• Paragon Clinical Midwest, LLC

  • Nurse Practitioner
  • Merrillville, IN
  • NPI 1619335700

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1656374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1720710791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 KENSINGTON RD STE 212",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605232197",
            "telephone_number": "855-687-7861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 KENSINGTON RD STE 212",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605232197",
            "telephone_number": "855-687-7861"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14484 John Humphrey Dr",
            "address_purpose": "LOCATION",
            "city": "Orland Park",
            "state": "IL",
            "postal_code": "604622638",
            "country_code": "US",
            "telephone_number": "708-364-0580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SHAKITA",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-28",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209025763",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "209025763",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209025763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Computer",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "14484 John Humphrey Dr",
            "city": "Orland Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604622638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Emily Johnson, AUD
• Jimine Windy Johnson, LCPC
• Marie Elizabeth Johnson, PSY.D.
• Patricia Ann Johnson, OTR/L, PT
• Ryan Johnson, DMD
• Alaynna Jones, RBT
• Camiria Jones, PHD
• Geoffrey Leroy Jones, M.D.
• Jacqueline Jones
• Kierra Jones, RBT

• Psychiatric/Mental Health Nurse Practitioner in Oak Brook, IL
• Providers in Oak Brook, IL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; 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.