Individual provider Active NPI

Anthony Robert Johnson

  • Mental Health Counselor
  • Rolling Meadows, IL
National Provider Identifier
1740753722
Registry record updated Nov 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1855 Rohlwing Rd Ste a
Rolling Meadows, IL 60008-1474
Phone
(800) 732-6837
NPI assigned
Jan 2, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

1855 Rohlwing Rd Ste a
Rolling Meadows, IL 60008-1474

Mailing address

2201 Renaissance Blvd FL 3
King of Prussia, PA 19406-2709
Phone (610) 908-5782

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

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Glen Road Opco LLC CurrentSince Nov 30, 2025 Accepting new patients
Association for Individual Development Past Accepting new patients
Association for Individual Development PastSince Mar 25, 2016 Accepting new patients

Locations

1855 Rohlwing Rd
Ste A
Rolling Meadows, IL 60008
Phone (800) 732-6837

2201 Renaissance Blvd
Fl 3
King of Prussia, PA 19406
Phone (215) 495-7855

Organizations & group practices 3

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": "1546387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764115200000",
    "number": "1740753722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 RENAISSANCE BLVD FL 3",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194062709",
            "telephone_number": "610-908-5782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 ROHLWING RD STE A",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "600081474",
            "telephone_number": "800-732-6837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ANTHONY",
        "middle_name": "ROBERT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-02",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rolling Meadows, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2025; 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.