KELLI F JOHNSON PH.D.
NPI 1104127448
Psychologist - Counseling in Chicago, IL

Active since November 03, 2010Opted out of Medicare · through Dec 16, 2026
405 N WABASH AVE, SUITE 4003, CHICAGO, IL 60611(850) 980-2233 Get Directions Write a Review

NPPES record last updated: November 3, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelli F Johnson Ph.d. NPPES

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

KELLI F JOHNSON PH.D. (NPI 1104127448) is an individual counseling provider in Chicago, Illinois, licensed in Illinois (071.007472) and active in the NPI registry since November 2010. She has opted out of Medicare through December 16, 2026.

NPPES Registry Identity

NPI1104127448
Entity TypeIndividualFemale
Primary Taxonomy103TC1900X
Provider Legal NameKELLI F JOHNSONCredential: PH.D.
Location Address405 N WABASH AVE, SUITE 4003Chicago, IL 60611-3591
Mailing Address5312 N Winthrop Ave, 4sChicago, IL 60640-2389 · (850) 980-2233
Sole ProprietorYes
Enumeration DateNovember 3, 2010
NPI 1104127448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · CounselingBehavioral Health & Social Service Providers
Taxonomy Code103TC1900X
License Licensed in IL · 071.007472
Definition
A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.
405 N WABASH AVE, Chicago, IL 60611

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Kelli F Johnson Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 16, 2024 through December 16, 2026.

Opt-Out Effective DateDecember 16, 2024
Opt-Out In Effect ThroughDecember 16, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

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

Psychologist (Clinical)
405 N WABASH AVE, SUITE 1008
CHICAGO, IL 60611
Counselor (Professional)
405 N WABASH AVE, SUITE 3805
CHICAGO, IL 60611
Psychologist (Clinical)
405 N WABASH AVE, SUITE 4003
CHICAGO, IL 60611
Physical Therapist
405 N WABASH AVE
CHICAGO, IL 60611
Physical Therapist
405 N WABASH AVE
CHICAGO, IL 60611
Psychologist (Clinical)
405 N WABASH AVE, #1114
CHICAGO, IL 60611
Psychologist (Clinical)
405 N WABASH AVE, 2910
CHICAGO, IL 60611
Psychologist (Clinical)
405 N WABASH AVE, SUITE 1114
CHICAGO, IL 60611

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 Kelli Johnson's NPI number?

The NPI number for Kelli Johnson is 1104127448. It was assigned to this individual provider in the NPPES registry on November 3, 2010.

Where is Kelli Johnson located?

Kelli Johnson practices at 405 N Wabash Ave Suite 4003, Chicago, IL 60611. The listed phone number is (850) 980-2233.

What is Kelli Johnson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Counseling, with taxonomy code 103TC1900X.

Is Kelli Johnson enrolled in Medicare?

No. Kelli Johnson has opted out of Medicare through December 16, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Kelli Johnson was last updated on November 3, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.