JAMES JOHNSON
NPI 1083189120
Counselor - Professional in Rockford, IL
About James Johnson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAMES JOHNSON (NPI 1083189120) is an individual professional provider in Rockford, Illinois, licensed in Illinois (180.013190) and active in the NPI registry since October 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
James Johnson is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show James Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Loves Park, IL 61111
- Reassigned Medicare billing, Illinois enrollment
- Medicare enrollment name: Four Corners Wellness Center, Ltd
- 7 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 James Johnson's NPI number?
The NPI number for James Johnson is 1083189120. It was assigned to this individual provider in the NPPES registry on October 4, 2018.
Where is James Johnson located?
James Johnson practices at 695 N Perryville Rd, Rockford, IL 61107. The listed phone number is (779) 368-0060.
What is James Johnson's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is James Johnson enrolled in Medicare?
Yes. James Johnson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for James Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), James Johnson reassigns Medicare benefits to Fourcorners Wellness Center, Ltd (Loves Park, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does James Johnson accept?
Health plans from MercyCare, MercyCare Health Plans and Quartz list James Johnson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for James Johnson was last updated on May 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# James Johnson · NPI 1083189120
Professional provider in Rockford, Illinois. Individual provider, active in the CMS NPPES registry since October 4, 2018.
## Identity
- **NPI:** 1083189120 (Entity type: Individual)
- **Enumerated:** October 4, 2018
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 180.013190 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 695 N PERRYVILLE RD, Rockford, IL 61107-6225
- **Phone:** (779) 368-0060
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Fourcorners Wellness Center, Ltd (NPI 1932968633, Loves Park, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** May 16, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1083189120) · Data from the CMS NPPES public registry.