Active NPI
Tracee Johnson
- Professional Counselor
- Naperville, IL
National Provider Identifier
1720926165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 178022816
- Practice address
- 2212 Waterleaf CT Unit 103
Naperville, IL 60564-4986 - Phone
- (630) 696-8444
- NPI assigned
- Mar 24, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 178022816 | IL | Primary |
Addresses
Primary practice location
2212 Waterleaf CT Unit 103
Naperville, IL 60564-4986
Mailing address
2212 Waterleaf CT Unit 103
Naperville, IL 60564-4986
Other practice location 1
1717 Park St Ste 190
Naperville, IL 60563-6713
Phone (331) 444-2618
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178022816 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Compassionate Edge Inc | Professional | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1774310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774310400000",
"number": "1720926165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2212 WATERLEAF CT UNIT 103",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605644986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2212 WATERLEAF CT UNIT 103",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605644986",
"telephone_number": "630-696-8444"
}
],
"practiceLocations": [
{
"address_1": "1717 Park St Ste 190",
"address_purpose": "LOCATION",
"city": "Naperville",
"state": "IL",
"postal_code": "605636713",
"country_code": "US",
"telephone_number": "331-444-2618",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "TRACEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-03-24",
"last_updated": "2026-03-24",
"certification_date": "2026-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178022816",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.