Individual provider Active NPI

Tracee Johnson

  • Professional Counselor
  • Naperville, IL
National Provider Identifier
1720926165
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
178022816 Issued in IL
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

Updated by the provider on Mar 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
178022816ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Compassionate Edge Inc Professional PastSince Oct 20, 2024 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.

Verify at the official NPI Registry.