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KIMBERLEE A JOHANNESEN
NPI 1114667813
Counselor - Professional in Chicago, IL

Active since March 30, 2022PECOS Enrolled
20 N CLARK ST STE 2750, CHICAGO, IL 60602(866) 296-5262(877) 991-8819 Get Directions Write a Review

NPPES record last updated: April 8, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 8, 2025, Apr 29, 2022 (2 updates tracked since 2022).

About Kimberlee A Johannesen NPPES

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

KIMBERLEE A JOHANNESEN (NPI 1114667813) is an individual professional provider in Chicago, Illinois, licensed in Illinois (180.001177) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Houston.

NPPES Registry Identity

NPI1114667813
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKIMBERLEE A JOHANNESEN
Location Address20 N CLARK ST STE 2750Chicago, IL 60602-5103
Mailing Address8906 Cardwell LnHouston, TX 77055-4732 · (713) 416-1921
Phone(866) 296-5262
Fax(877) 991-8819
Sole ProprietorYes
Enumeration DateMarch 30, 2022
Last NPPES UpdateApril 8, 20252 updates tracked since enumeration
NPPES CertifiedApril 8, 2025
✔ NPI 1114667813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 180.001177
20 N CLARK ST STE 2750, Chicago, IL 60602
Open in Google Maps ↗

Secondary Practice Location 1

Location 18906 Cardwell LnHouston, TX 77055-4732 · Phone (713) 416-1921

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberlee A Johannesen is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Kimberlee Johannesen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Perspectives Ltd
Same address
Mental Health
20 N CLARK ST STE 2750
Chicago, IL 60602
  • Reassigned Medicare billing, Illinois enrollment
  • 10 clinicians in this Medicare group
NPI 1750439444 (866) 296-5262

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 5

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

MS. PAULINA MALYSKO M.A., LPC
Counselor (Professional)
20 N CLARK ST STE 2750
CHICAGO, IL 60602
Cook County (866) 296-5262
MR. EDWARD CHARLES JANA LCPC
Counselor (Mental Health)
20 N CLARK ST STE 2750
CHICAGO, IL 60602
Cook County (866) 296-5262
PERSPECTIVES LTD
Counselor (Mental Health)
20 N CLARK ST STE 2750
CHICAGO, IL 60602
Cook County (866) 296-5262
NIKKI NELSON LCSW
Counselor (Mental Health)
20 N CLARK ST STE 2750
CHICAGO, IL 60602
Cook County (866) 296-5262
MS. JILL EDEN SHINER
Counselor (Mental Health)
20 N CLARK ST STE 2750
CHICAGO, IL 60602
Cook County (866) 296-5262

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 Kimberlee Johannesen's NPI number?

The NPI number for Kimberlee Johannesen is 1114667813. It was assigned to this individual provider in the NPPES registry on March 30, 2022.

Where is Kimberlee Johannesen located?

Kimberlee Johannesen practices at 20 N Clark St Ste 2750, Chicago, IL 60602. The listed phone number is (866) 296-5262.

What is Kimberlee Johannesen's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Kimberlee Johannesen enrolled in Medicare?

Yes. Kimberlee Johannesen is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kimberlee Johannesen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberlee Johannesen reassigns Medicare benefits to Perspectives Ltd (Chicago, 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 Kimberlee Johannesen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kimberlee Johannesen was last updated on April 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.