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NICOLE JOHNSON LPC,LMFT
NPI 1104901263
Marriage & Family Therapist in Kenosha, WI

Active since October 26, 2006PECOS EnrolledAccepts Medicare Assignment
6121 GREEN BAY RD, SUITE 230, KENOSHA, WI 53142(262) 654-8366 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicole Johnson Lpc,lmft NPPES

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

NICOLE JOHNSON LPC,LMFT (NPI 1104901263) is an individual marriage & family therapist in Kenosha, Wisconsin, licensed in Wisconsin (635-124) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1104901263
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameNICOLE JOHNSONCredential: LPC,LMFT
Location Address6121 GREEN BAY RD, SUITE 230Kenosha, WI 53142-2926
Mailing Address6121 Green Bay Rd, Suite 230Kenosha, WI 53142-2926 · (262) 654-8366
Phone(262) 654-8366
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateOctober 26, 2006
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1104901263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in WI · 635-124
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 2882-125 (WI)
6121 GREEN BAY RD, Kenosha, WI 53142
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), HealthPartners and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicole Johnson Lpc,lmft 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.

PECOS PAC ID6204273469
PECOS Enrollment IDI20240322003295
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 11

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

ANGIE HARNISH
Social Worker (Clinical)
6121 GREEN BAY RD
KENOSHA, WI 53142
Kenosha County (262) 864-1141
MS. VICTORIA H BIEHN LPC
Counselor (Mental Health)
6121 GREEN BAY RD
KENOSHA, WI 53142
Kenosha County (262) 652-7222
MRS. KIMBERLY S WEBER MSW, APSW
Counselor (Mental Health)
6121 GREEN BAY RD, SUITE 220
KENOSHA, WI 53142
Kenosha County (262) 652-7222
FLEMING PSYCHOLOGICAL SERVICES, SC
Psychologist (Clinical)
6121 GREEN BAY RD, STE. 230
KENOSHA, WI 53142
Kenosha County (262) 654-8366
VIRGINIA V FENNEMA MSW, LCSW
Counselor (Mental Health)
6121 GREEN BAY RD, SUITE 220
KENOSHA, WI 53142
Kenosha County (262) 652-7222
DEBRA JOHANSEN PHD
Psychologist (Clinical)
6121 GREEN BAY RD, SUITE 230
KENOSHA, WI 53142
Kenosha County (262) 654-8366
SHELLIE K BABCOCK LCSW
Community/Behavioral Health
6121 GREEN BAY RD, SUITE 220
KENOSHA, WI 53142
Kenosha County (262) 652-7222
MRS. SHARON LYNN O'BRIEN
Counselor (Mental Health)
6121 GREEN BAY RD, SUITE 220
KENOSHA, WI 53142
Kenosha County (262) 652-7222

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 Nicole Johnson's NPI number?

The NPI number for Nicole Johnson is 1104901263. It was assigned to this individual provider in the NPPES registry on October 26, 2006.

Where is Nicole Johnson located?

Nicole Johnson practices at 6121 Green Bay Rd Suite 230, Kenosha, WI 53142. The listed phone number is (262) 654-8366.

What is Nicole Johnson's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Nicole Johnson enrolled in Medicare?

Yes. Nicole 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.

What insurance does Nicole Johnson accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), HealthPartners, Medica and Network Health and 1 other insurer list Nicole 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 Nicole Johnson was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.