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JACK JOHNSON RSA
NPI 1033967765
Counselor - Mental Health in Chicago, IL

Active since May 08, 2024
219 W CHICAGO AVE, CHICAGO, IL 60654(872) 777-8110 Get Directions Write a Review

NPPES record last updated: May 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jack Johnson Rsa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK JOHNSON RSA (NPI 1033967765) is an individual mental health provider in Chicago, Illinois and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1033967765
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJACK JOHNSONCredential: RSA
Location Address219 W CHICAGO AVEChicago, IL 60654-5600
Mailing Address18555 Western AveHomewood, IL 60430-3116
Phone(872) 777-8110
Sole ProprietorNo
Enumeration DateMay 8, 2024
NPPES CertifiedMay 8, 2024
✔ NPI 1033967765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
219 W CHICAGO AVE, Chicago, IL 60654
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Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REBECCA ETRENNE APN
Nurse Practitioner (Family)
219 W CHICAGO AVE
CHICAGO, IL 60654
Cook County (312) 878-1945
LEMARQUIS GOODS II
Case Manager/Care Coordinator
219 W CHICAGO AVE, SUITE 200
CHICAGO, IL 60654
Cook County (872) 777-8110
DOMINIQUE MARBLEY
Social Worker
219 W CHICAGO AVE
CHICAGO, IL 60654
Cook County (872) 777-8110
WARREN OTHER BALLENTINE
Peer Specialist
219 W CHICAGO AVE
CHICAGO, IL 60654
Cook County (919) 672-1818
BRYNN CHRISTENSEN PA-C
Physician Assistant (Medical)
219 W CHICAGO AVE
CHICAGO, IL 60654
Cook County (312) 878-1945
BERNARD KINSEY
Counselor (Mental Health)
219 W CHICAGO AVE
CHICAGO, IL 60654
Cook County (708) 969-4376
MEDSPRING OF TEXAS, PA
Clinic/Center (Urgent Care)
219 W CHICAGO AVE
CHICAGO, IL 60654
Cook County (888) 980-0505
LASHUNDA L MCNAIR
Case Manager/Care Coordinator
219 W CHICAGO AVE, STE 200
CHICAGO, IL 60654
Cook County (872) 777-8110

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Johnson's NPI number?

The NPI number for Jack Johnson is 1033967765. It was assigned to this individual provider in the NPPES registry on May 8, 2024.

Where is Jack Johnson located?

Jack Johnson practices at 219 W Chicago Ave, Chicago, IL 60654. The listed phone number is (872) 777-8110.

What is Jack Johnson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jack Johnson was last updated on May 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.