MR. DERRON JOHNSON JR. LCPC
NPI 1225718026
Counselor - Professional in Chicago, IL

Q: What is Derron Johnson's NPI number?

The NPI number for Derron Johnson is 1225718026. It was assigned to this individual provider in the NPPES registry on July 18, 2023.

Q: What is Derron Johnson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Derron Johnson was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 July 18, 2023PECOS Enrolled

6712 S WABASH AVE APT 1F, CHICAGO, IL 60637(773) 936-7886 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 3, 2026, Jul 18, 2023 (2 updates tracked since 2023).

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About Mr. Derron Johnson Jr. Lcpc NPPES

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

MR. DERRON JOHNSON JR. LCPC (NPI 1225718026) is an individual professional provider in Chicago, Illinois, licensed in Illinois (180.017784) and active in the NPI registry since July 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225718026

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameMR. DERRON JOHNSON JR.Credential: LCPC

Location Address6712 S WABASH AVE APT 1FChicago, IL 60637-3966

Mailing Address6712 S Wabash Ave Apt 1fChicago, IL 60637-3966 · (773) 936-7886

Phone(773) 936-7886

Sole ProprietorYes

Enumeration DateJuly 18, 2023

Last NPPES UpdateJune 3, 20262 updates tracked since enumeration

NPPES CertifiedJune 3, 2026

✔ NPI 1225718026 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 · 180.017784

6712 S WABASH AVE APT 1F, Chicago, IL 60637

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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 (PECOS)

Mr. Derron Johnson Jr. Lcpc 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.

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 Derron Johnson's NPI number?

The NPI number for Derron Johnson is 1225718026. It was assigned to this individual provider in the NPPES registry on July 18, 2023.

Where is Derron Johnson located?

Derron Johnson practices at 6712 S Wabash Ave Apt 1F, Chicago, IL 60637. The listed phone number is (773) 936-7886.

What is Derron Johnson's specialty?

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

Is Derron Johnson enrolled in Medicare?

Yes. Derron Johnson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Derron Johnson was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.