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

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: November 01, 2026.

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

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 and is a graduate of Other (2021).

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
Medical School CMSOtherGraduated 2021
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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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Derron Johnson Jr. Lcpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4284198805
PECOS Enrollment IDI20260714003694
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 Derron Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Vitae Health Medical Illinois, PLLC
18 mi
Internal Medicine
3450 OAKTON ST
Skokie, IL 60076
  • Reassigned Medicare billing, Illinois enrollment
  • 491 clinicians in this Medicare group
NPI 1174013452 (224) 777-8034

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organization bills Medicare for Derron Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Derron Johnson reassigns Medicare benefits to Vitae Health Medical Illinois, PLLC (Skokie, 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 Derron Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Derron Johnson accept?

Health plans from Oscar Health and UnitedHealthcare list Derron 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 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 5 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.