Individual provider Active NPI

Roslyn Johnson, LCPC

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1982969358
Registry record updated Oct 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180008134 Issued in IL
Practice address
9927 S Throop St
Chicago, IL 60643-1349
Phone
(312) 420-5354
NPI assigned
Jul 11, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2012

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 180008134 IL Primary

Addresses

Primary practice location

9927 S Throop St
Chicago, IL 60643-1349

Mailing address

9927 S Throop St
Chicago, IL 60643-1349
Phone (312) 420-5354

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: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tca Health Inc NFP CurrentSince Jan 1, 2024 Accepting new patients
Tca Health Inc NFP CurrentSince Jan 1, 2024 Accepting new patients

Locations

1029 E 130th St
Chicago, IL 60628
Phone (773) 995-6300

Organizations & group practices 2

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": "1341964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349568000000",
    "number": "1982969358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9927 S THROOP ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606431349",
            "telephone_number": "312-420-5354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9927 S THROOP ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606431349",
            "telephone_number": "312-420-5354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ROSLYN",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-11",
        "last_updated": "2012-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180008134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.