Individual provider Active NPI

Danneita L Johnson, L.C.P.C.

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1801919501
Registry record updated May 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180006419 Issued in IL
Practice address
4201 N Damen Ave
Chicago, IL 60618-3021
Phone
(312) 927-9671
NPI assigned
Apr 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2019

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 180006419 IL Primary

Addresses

Primary practice location

4201 N Damen Ave
Chicago, IL 60618-3021

Mailing address

2516 N Artesian Ave
3Rd Floor Front
Chicago, IL 60647-1952
Phone (773) 620-6070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Mar 15, 2024 through Mar 15, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
180006419ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Emotional Architect, LTD. Professional Current Accepting new patients

Locations

4201 N Damen Ave
Chicago, IL 60618
Phone (847) 208-7873

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": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558051200000",
    "number": "1801919501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2516 N ARTESIAN AVE",
            "address_2": "3RD FLOOR FRONT",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606471952",
            "telephone_number": "773-620-6070",
            "fax_number": "888-576-8348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 N DAMEN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606183021",
            "telephone_number": "312-927-9671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DANNEITA",
        "middle_name": "L",
        "credential": "L.C.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2019-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180006419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.