AUDRA JOHNSON
NPI 1124629696
Social Worker - Clinical in Aurora, IL

Q: What is Audra Johnson's NPI number?

The NPI number for Audra Johnson is 1124629696. It was assigned to this individual provider in the NPPES registry on November 2, 2020.

Q: What is Audra Johnson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Audra Johnson was last updated on May 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since November 02, 2020PECOS EnrolledAccepts Medicare Assignment

1315 N HIGHLAND AVE STE 202, AURORA, IL 60506(630) 394-1379 Get Directions Write a Review

NPPES record last updated: May 1, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 1, 2026, Nov 15, 2022, Nov 2, 2020 (3 updates tracked since 2020).

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About Audra Johnson NPPES

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

AUDRA JOHNSON (NPI 1124629696) is an individual clinical provider in Aurora, Illinois, licensed in Illinois (149.025033) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1124629696

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameAUDRA JOHNSON

Location Address1315 N HIGHLAND AVE STE 202Aurora, IL 60506-1460

Mailing AddressPo Box 107Cortland, IL 60112-0107

Phone(630) 394-1379

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateNovember 2, 2020

Last NPPES UpdateMay 1, 20263 updates tracked since enumeration

NPPES CertifiedMay 1, 2026

✔ NPI 1124629696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in IL · 149.025033

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

1315 N HIGHLAND AVE STE 202, Aurora, IL 60506

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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

Audra 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.

PECOS PAC ID9234645813

PECOS Enrollment IDI20250721003178

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60506 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $59.81 – $181.38

Typical copayment $0.00 (range $14.95 – $45.34)

Most-billed visit code NA

Established Patient

$74.38 typical visit price

range $19.15 – $147.12

Typical copayment $18.59 (range $4.78 – $36.78)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

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

DANIELLA ARGUETA LOPEZ

Social Worker